Steven Glenn Weaver, MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

MD28076 Issued in TN

Practice address

23 Weatherford SQ
Jackson, TN 38305-2202

Phone

(731) 217-3799

Fax

(731) 422-0432

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Addiction MedicineAlso: Emergency Medicine, Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Freeman Health Partners Medical Services PCGroup PAC ID 2668810623, 6 clinicians

West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steven.weaver.1@31315.direct.athenahealth.com

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.

• Freeman Health Partners Medical Services, PC

  • Adult Medicine Physician
  • Dickson, TN
  • NPI 1205549094

  Addiction Medicine

  Medicare reassignment Care Compare group NPD
• West Tennessee Healthcare Hospitalists Inc

  • Hospitalist Physician
  • Jackson, TN
  • NPI 1720635188
  Medicare reassignment Care Compare group NPD
• Redemption Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1235715830
  Medicare reassignment NPD
• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  Medicare reassignment NPD
• Apogee Medical Group Tennessee PC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1578717682

  Internal Medicine, TN

  Medicare reassignment NPD
• Redemption Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Selmer, TN
  • NPI 1124695416
  NPD
• Redemption Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Camden, TN
  • NPI 1841867132
  NPD
• Freeman Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Dickson, TN
  • NPI 1699181420
  NPD (past)
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  NPD (past)
• Southeast Eight Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1972172716
  NPD (past)

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1295704393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WEATHERFORD SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052202",
            "telephone_number": "731-394-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEATHERFORD SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052202",
            "telephone_number": "731-217-3799",
            "fax_number": "731-422-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Selmer",
            "state": "TN",
            "postal_code": "383751723",
            "country_code": "US",
            "telephone_number": "731-217-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 East Tickle Street",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "38024",
            "country_code": "US",
            "telephone_number": "731-217-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Wayne Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383721536",
            "country_code": "US",
            "telephone_number": "731-217-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Highway 641 S",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "TN",
            "postal_code": "383201639",
            "country_code": "US",
            "telephone_number": "731-217-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "STEVEN",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD28076",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD28076",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "MD28076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803406",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sweaver@redemptionrecovery.net",
            "affiliation": "N",
            "address_1": "23 Weatherford Sq",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383052202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew T Weatherford, PHARM. D
• Shonda Weathers, CASE MANAGER
• Christopher D Weaver, RN
• Dalton Glenn Weaver
• Sandra Weaver, CRNA
• April Webb
• Bradley Webb, MD
• Dorothy Webb, LPN
• Jessica Hope Webster
• Karen D Webster, OT

• Addiction Medicine (Preventive Medicine) Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Addiction Medicine (Preventive Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.