Jerrie Caroline Haney-Weaver, M.D.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

40791 Issued in TN

Practice address

501 19TH Street
Suite 509
Knoxville, TN 37916-1853

Phone

(865) 524-3208

Fax

(865) 522-4322

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Obstetrics/Gynecology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Sanders Obstetrical and Gynecological Group, PCGroup PAC ID 1254416506, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fort Sanders Obstetrical and Gynecological Group, P.C.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
  • NPI 1063525236
  Medicare reassignment Care Compare group NPD
• Fort Sanders Obstetrical and Gynecological Group II LLC

  • Clinic/Center
  • Knoxville, TN
  • NPI 1487815494
  NPD (past)
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  NPD (past)

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

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1528086097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH STREET",
            "address_2": "SUITE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161853",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH STREET",
            "address_2": "SUITE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161853",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY-WEAVER",
        "first_name": "JERRIE",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "MD40791",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "40791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4131926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1154546927",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832868",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Letha Jane Hancock, RN
• Melissa Hancock, M.D.
• Robert Christopher Hancock, DPM
• Annessa Camille Hand
• Hands in Unity LLC
• Alan Douglas Haney, MD
• Ashley Marie Haney, FNP-BC
• Charles L Haney, PA
• Cynthia J Haney, PA
• Jack William Haney, D.D.S.

• Obstetrics Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Obstetrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.