Andrea Campbell Weathers

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

39709 Issued in NC

Practice address

Wakemed Children'S PM Urgent Care
8841 Six Forks Road, Suite 102
Raleigh, NC 27615

Phone

(984) 217-5437

Fax

(984) 205-1626

NPI assigned

Dec 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Wake Med Children'S PM Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Morrisville, NC
  • NPI 1932679446

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1609310275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SCOTTINGHAM LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKEMED CHILDREN'S PM URGENT CARE",
            "address_2": "8841 SIX FORKS ROAD, SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "984-217-5437",
            "fax_number": "984-205-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 New Walkertown Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271013420",
            "country_code": "US",
            "telephone_number": "336-703-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERS",
        "first_name": "ANDREA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "39709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We DO Care Home Care Agency
• Marisa Leetice Weakfall
• Melissa Renee Weakland
• Cathi E. Weatherly-Jones, M.D.
• Jaime Weatherly
• Julie Glyn Weathers, FNP-BC
• Latima M Weathersbe
• Allison K Weaver, MSW, LCSW
• Alyssa Mary Weaver, LMFTA
• Carleigh Davis Weaver, LCSW

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.