Individual provider Active NPI

Thomas Weiner, MBBS

  • Family Medicine Physician
  • Athens, GA
National Provider Identifier
1508187519
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
072846 Issued in GA
Practice address
855 W Broad St Ste a
Athens, GA 30601-2511
Phone
(706) 850-6134
Fax
(706) 850-6318
NPI assigned
Jun 14, 2010
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT198022 PA
Family Medicine Physician 207Q00000X 072846 GA Primary

Addresses

Primary practice location

855 W Broad St Ste a
Athens, GA 30601-2511

Mailing address

855 W Broad St Ste a
Athens, GA 30601-2511
Phone (706) 850-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150123001473 GA Practitioner - Family Practice 3476788118
I20200902002623 HI Practitioner - Family Practice 3476788118 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ecare Hawaii LLCGroup PAC ID 0648693051, 8 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

633 Ponahawai St
Suite 101
Hilo, HI 96720-7601
Phone (808) 885-3627

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
072846GAMDFamily Medicine Physician
MT198022PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince May 1, 2025 Accepting new patients
Ecare Hawaii LLC Family Medicine CurrentSince Mar 3, 2023 Accepting new patients
Whchc - Hawaii Island Community Health Center CurrentSince Aug 17, 2020 Accepting new patients
West Hawaii Community Health Center, Inc. Family Medicine Current Accepting new patients
Daiya Healthcare PLLC CurrentSince Dec 2, 2022 Accepting new patients
MH Primary Care Plus LLC Family Medicine CurrentSince Oct 31, 2025 Accepting new patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
Mi-Health LLC CurrentSince Nov 1, 2023 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Aug 17, 2020 Accepting new patients

Locations

633 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 885-3627

73 Puuhonu Pl
Ste 101
Hilo, HI 96720
Phone (808) 729-9090

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

Interoperability endpoints

  • Direct secure messaging: thomas.weiner@532995347120132.direct.elationemr.com

Organizations & group practices 11

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

Hospital & facility affiliations 3

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1508187519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012511",
            "telephone_number": "706-850-6134",
            "fax_number": "706-850-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W BROAD ST STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012511",
            "telephone_number": "706-850-6134",
            "fax_number": "706-850-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT198022",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "072846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.