NPIMap

Individual provider Active NPI

William Rhett Weaver, M.D.

  • Internal Medicine Physician
  • Demorest, GA
National Provider Identifier
1679557805
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029819 Issued in GA
Practice address
835 Austin Dr
Demorest, GA 30535-4513
Phone
(706) 754-8518
Fax
(706) 754-6238
NPI assigned
Dec 1, 2005
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029819 GA Primary

Addresses

Primary practice location

835 Austin Dr
Demorest, GA 30535-4513

Mailing address

PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122

Other practice location 1

541 Historic Hwy 441N
Demorest, GA 30535
Phone (770) 534-2020

Other identifiers 3

IdentifierTypeStateIssuer
000509308AMedicaidGA
355686OtherGAWELLCARE
DG0044OtherGARR MEDICARE GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wweaver95117@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000775 GA Practitioner - Internal Medicine 9638104615 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians
Georgia Heart Institute LLCGroup PAC ID 4183848062, 127 clinicians
Northeast Georgia Community Physicians LLCGroup PAC ID 3274010582, 129 clinicians

Practice addresses (Care Compare)

4222 Fairbanks Dr
Oakwood, GA 30566-2811
Phone (770) 534-6053

541 Historic Hwy 441 N
Demorest, GA 30525-4522
Phone (770) 534-2020

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 533-6511

801 Austin Dr
Demorest, GA 30535-4513
Phone (770) 533-6511

835 Austin Dr
Demorest, GA 30535-4513
Phone (706) 754-8518

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029819GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Longstreet Clinic PC CurrentSince Apr 1, 2012 Accepting new patients
The Longstreet Clinic, PC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
The Hospital Authority of Habersham County Current Accepting new patients
Georgia Heart Institute LLC CurrentSince Jun 30, 2023 Accepting new patients
Northeast Georgia Heart Center Current Accepting new patients
The Hospital Authority of Habersham County CurrentSince Jun 26, 1992 Accepting new patients
The Hospital Authority of Habersham County CurrentSince Jun 26, 1992 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 1, 2005 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
24 On Physicians, PC CurrentSince Aug 1, 2005 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

835 Austin Dr
Demorest, GA 30535
Phone (706) 754-8518

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

Interoperability endpoints

  • Direct secure messaging: rhett.weaver@hcmcmed.gadirect.net
  • Direct secure messaging: rhett.weaver@longstreetclinic.gadirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1679557805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030658",
            "telephone_number": "770-718-1122",
            "fax_number": "770-533-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 AUSTIN DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354513",
            "telephone_number": "706-754-8518",
            "fax_number": "706-754-6238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 HISTORIC HWY 441N",
            "address_purpose": "LOCATION",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "country_code": "US",
            "telephone_number": "770-534-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "WILLIAM",
        "middle_name": "RHETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "029819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509308A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "355686",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DG0044",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wweaver95117@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "541 HISTORIC HWY 441N",
            "city": "DEMOREST",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.