Individual provider Active NPI

Clayton Tarrant Weller, MD

  • Anesthesiology Physician
  • Savannah, GA
National Provider Identifier
1588190847
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
97231 Issued in GA
Practice address
5353 Reynolds St
Savannah, GA 31405-6015
Phone
(912) 819-6000
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 97231 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5353 Reynolds St
Savannah, GA 31405-6015

Mailing address

500 S Preston St RM 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Other practice location 1

101 Saint Josephs Candler Dr
Pooler, GA 31322-9584
Phone (912) 737-2231

Other practice location 2

215 Mims Rd
Sylvania, GA 30467-1994
Phone (912) 827-6536

Other practice location 3

11909 McAuley Dr Ste B
Savannah, GA 31419-1794
Phone (912) 819-4100

Other practice location 4

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4100

Other practice location 5

210 E DeRenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

Other practice location 6

200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000

Other practice location 7

500 S Preston St Rm 305
Louisville, KY 40202-1702
Phone (502) 852-8696

Other practice location 8

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230928000289 GA Practitioner - Anesthesiology 9537542451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Associates of Georgia LLCGroup PAC ID 7618934779, 230 clinicians

Practice addresses (Care Compare)

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-6000

Hospital & facility affiliations

  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97231GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Aug 21, 2023 Accepting new patients

Locations

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

11909 McAuley Dr
Ste B
Savannah, GA 31419
Phone (912) 819-2237

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 1

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 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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1588190847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S PRESTON ST RM 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021702",
            "telephone_number": "502-852-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Saint Josephs Candler Dr",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229584",
            "country_code": "US",
            "telephone_number": "912-737-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Mims Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "GA",
            "postal_code": "304671994",
            "country_code": "US",
            "telephone_number": "912-827-6536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11909 McAuley Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191794",
            "country_code": "US",
            "telephone_number": "912-819-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 Mercy Blvd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191711",
            "country_code": "US",
            "telephone_number": "912-819-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E DeRenne Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056736",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N River St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304171659",
            "country_code": "US",
            "telephone_number": "912-739-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Preston St Rm 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "247 S Main St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "GA",
            "postal_code": "304534605",
            "country_code": "US",
            "telephone_number": "912-557-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLER",
        "first_name": "CLAYTON",
        "middle_name": "TARRANT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2024-02-29",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "97231",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.