Individual provider Active NPI

Noel Douglas Weigel, D.O.

  • Urology Physician
  • Dublin, GA
National Provider Identifier
1598844862
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
41385 Issued in GA
Practice address
200 Fairview Park Dr
Dublin, GA 31021-2547
Phone
(478) 272-6150
Fax
(478) 272-4903
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 41385 GA Primary

Addresses

Primary practice location

200 Fairview Park Dr
Dublin, GA 31021-2547

Mailing address

200 Fairview Park Dr
Dublin, GA 31021-2547
Phone (478) 272-6150

Other identifiers 1

IdentifierTypeStateIssuer
000700169BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address noel.weigel@srpcc.gadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41385GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Dublin Urology, LLC Urology Current Accepting new patients
Heart of Georgia Urology Associates,LLC Urology CurrentSince May 10, 2005 Accepting new patients

Locations

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

303 Harris Industrial Blvd
Ste 5
Vidalia, GA 30474
Phone (912) 535-7000

Interoperability endpoints

  • Direct secure messaging: noel.weigel@duburo.gadirect.net
  • Direct secure messaging: noel.weigel@mrmc.gadirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1598844862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-272-6150",
            "fax_number": "478-272-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-272-6150",
            "fax_number": "478-272-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "NOEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-02-10",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "41385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000700169B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noel.weigel@srpcc.gadirect.net",
            "affiliation": "N",
            "address_1": "200 Fairview Park Dr",
            "city": "Dublin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310212547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.