Individual provider Active NPI

Ryan Weakley, M.D.

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1659564458
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48052 Issued in TN
Practice address
2 Columbia Dr
J402
Tampa, FL 33606-3508
Phone
(813) 844-7412
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN11253 FL
Emergency Medicine Physician 207P00000X 01073419A IN
Emergency Medicine Physician 207P00000X 6402 AK
Emergency Medicine Physician 207P00000X 48052 TN Primary

Addresses

Primary practice location

2 Columbia Dr
J402
Tampa, FL 33606-3508

Mailing address

2 Columbia Dr
J402
Tampa, FL 33606-3508
Phone (813) 844-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN2 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
I20140123000392 TN Practitioner - Emergency Medicine 5890828651 Reassigns benefits to 3 organizations
I20140322000059 IN Practitioner - Emergency Medicine 5890828651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havely Springs Emergency Group, PCGroup PAC ID 6204298144, 13 clinicians
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians
Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

100 Northcrest Dr
Springfield, TN 37172-3927
Phone (615) 698-3000

1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800

2000 Ava PL
Nolensville, TN 37135-1108
Phone (615) 986-2820

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1000

Hospital & facility affiliations

  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Tristar Ashland City Medical Center Hospital, Ashland City, TN, CCN 440779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
6402AKMDEmergency Medicine Physician
01073419AINMDEmergency Medicine Physician
48052TNMDEmergency Medicine Physician
TRN11253FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Havely Springs Emergency Group, PC Emergency Medicine CurrentSince Dec 15, 2025 Accepting new patients
Parallel Parkway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Mat-Su Emergency Medicine Physicians Corp Emergency Medicine PastSince Dec 21, 2021 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • Direct secure messaging: rweakley164537@direct.franciscanalliance.org

Organizations & group practices 6

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 4

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1659564458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "J402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "J402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLEY",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN11253",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01073419A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "6402",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "48052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.