Individual provider Active NPI

Daniela V Weatherly, MD

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1184691859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26258 Issued in AL
Practice address
6001 Airport Blvd
Mobile Medical Group
Mobile, AL 36608-3142
Phone
(251) 342-6944
Fax
(251) 342-4046
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26258 AL Primary

Addresses

Primary practice location

6001 Airport Blvd
Mobile Medical Group
Mobile, AL 36608-3142

Mailing address

2147 Riverchase Office Rd
Birmingham, AL 35244-1836
Phone (205) 403-8902

Other names 1

  • Daniela Viorica Weatherly Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000769 AL Practitioner - Family Practice 1759342397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

1261 Hillcrest Rd
Mobile, AL 36695-4026
Phone (251) 633-8880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Nov 1, 2018 Accepting new patients
Pain Diagnosis and Treatment, Inc. Past Accepting new patients
American Family Care, LLC Past Accepting new patients

Locations

1261 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-8880

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

5621 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-2439

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

Interoperability endpoints

  • Direct secure messaging: daniela.weatherly.1@16253.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184691859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 RIVERCHASE OFFICE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441836",
            "telephone_number": "205-403-8902",
            "fax_number": "205-982-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 AIRPORT BLVD",
            "address_2": "MOBILE MEDICAL GROUP",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083142",
            "telephone_number": "251-342-6944",
            "fax_number": "251-342-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "DANIELA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "WEATHERLY",
            "middle_name": "VIORICA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.