Adrian Todd Weaver, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011291 Issued in GA

Practice address

4174 Mullikin Rd
Evans, GA 30809-4806

Phone

(706) 868-8145

Fax

(706) 868-7281

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821188343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 MULLIKIN RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094806",
            "telephone_number": "706-868-8145",
            "fax_number": "706-868-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 MULLIKIN RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094806",
            "telephone_number": "706-868-8145",
            "fax_number": "706-868-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ADRIAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elayne Wang, DDS
• Lisa Marie Wannamaker, D.O.
• Jennifer Ward, D.O.
• Stephen Paul Warren, NP-C
• Teresa Annette Watts, DNP, FNP-C
• Steven Webb
• Logan Weeks
• Welcome Health Evans
• Welcome Health, LLC (Welcome Health)
• Wellpull Corporation of Evans (D & K Medical Supply)

• General Practice Dentistry in Evans, GA
• Providers in Evans, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.