Individual provider Active NPI

George L. Weidig Jr., M.D.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1730180464
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101024794 Issued in VA
Practice address
1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone
(540) 433-9151
Fax
(540) 433-0547
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101024794 VA Primary

Addresses

Primary practice location

1831 Reservoir St
Harrisonburg, VA 22801-8743

Mailing address

1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone (540) 433-9151

Other identifiers 5

IdentifierTypeStateIssuer
113977OtherVAOPTIMA ID
142670OtherVASOUTHERN HEALTH
005652871OtherVAVIRGINIA PREMIER
011308OtherVAANTHEM ID
005652871MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120601000367 VA Practitioner - Family Practice 3375707367 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Family Practice Associates PC CurrentSince Jun 30, 1981 Accepting new patients

Locations

1831 Reservoir St
Harrisonburg, VA 22801
Phone (540) 433-9151

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1730180464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDIG",
        "first_name": "GEORGE",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101024794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA ID",
            "identifier": "113977",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "142670",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "005652871",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "011308",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005652871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.