Individual provider Active NPI

Jasmine Weiss

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1750776761
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
64032 Issued in CT
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-1000
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036173177 IL
Pediatrics Physician 208000000X 102624 WI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 64032 CT Primary
Hospitalist Physician 208M00000X 080586 GA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

10318 Madison Park Dr
Charlotte, NC 28269-5136
Phone (704) 491-6805

Other practice location 1

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (708) 634-0950

Other practice location 2

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone (404) 778-1440

Other practice location 3

374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 752-5248

Other identifiers 1

IdentifierTypeStateIssuer
100324151MedicaidWI

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jweiss423271@direct.myadvocateaurora.org Direct
CONNECT URL NewHaven
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jweiss740422@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, IL, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20181024001931 GA Practitioner - Pediatric Medicine 8527311315 Reassigns benefits to 1 organization
I20211214003004 NC Practitioner - Pediatric Medicine 8527311315 Reassigns benefits to 1 organization
I20250204002260 IL Practitioner - Pediatric Medicine 8527311315 Reassigns benefits to 1 organization
I20250429002716 WI Practitioner - Pediatric Medicine 8527311315 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036173177ILMDPediatrics Physician
102624WIMDPediatrics Physician
080586GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Dec 26, 2024 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jan 1, 2026 Accepting new patients
Aurora Medical Group, Inc. Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Advocate Health & Hospitals Corporation Multi-Specialty CurrentSince Dec 26, 2024 Accepting new patients
University of North Carolina at Chapel Hill Multi-Specialty CurrentSince Oct 18, 2021 Accepting new patients
Carolinas Physicians Network, Inc Multi-Specialty CurrentSince Apr 7, 2025 Accepting new patients
Carolinas Physicians Network Inc Multi-Specialty Current Accepting new patients
Advocate Health and Hospitals Corporation Multi-Specialty Current Accepting new patients
Aurora Medical Group, Inc. Multi-Specialty Current Accepting new patients
Floyd Healthcare Management Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Aurora Medical Group, Inc. Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Multi-Specialty CurrentSince Apr 7, 2025 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

14555 W National Ave
#195B
New Berlin, WI 53151
Phone (262) 827-3290

Interoperability endpoints

  • Direct secure messaging: jweiss740422@direct.unc.nchie.net
  • Direct secure messaging: jweiss2994638@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1750776761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 MADISON PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695136",
            "telephone_number": "704-491-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Branding Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155624",
            "country_code": "US",
            "telephone_number": "708-634-0950",
            "fax_number": "708-634-0942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033049",
            "country_code": "US",
            "telephone_number": "404-778-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065133733",
            "country_code": "US",
            "telephone_number": "203-752-5248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036173177",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "102624",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "64032",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "080586",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324151",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweiss423271@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NewHaven",
            "affiliation": "N",
            "address_1": "374 Grand Ave",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065133733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweiss740422@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.