Active NPI
Joseph Gifford Weaver III, D.P.M.
- Podiatrist
- Lexington, NC
National Provider Identifier
1912954587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 256
- Practice address
- 208 W Center St
Suite D
Lexington, NC 27292-3045 - Phone
- (336) 243-2973
- Fax
- (336) 243-2973
- NPI assigned
- May 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 256 | NC | Primary |
Addresses
Primary practice location
208 W Center St
Suite D
Lexington, NC 27292-3045
Mailing address
208 W Center St
Suite D
Lexington, NC 27292-3045
Phone (336) 243-2973
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0818B | Other | NC | BCBS ID |
| 2709191 | Other | EVERCARE ID | |
| 2207761 | Other | CIGNA HEALTHCARE ID # | |
| 890818B | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912954587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W CENTER ST",
"address_2": "SUITE D",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923045",
"telephone_number": "336-243-2973",
"fax_number": "336-243-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W CENTER ST",
"address_2": "SUITE D",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923045",
"telephone_number": "336-243-2973",
"fax_number": "336-243-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JOSEPH",
"middle_name": "GIFFORD",
"name_suffix": "III",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "0818B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE ID",
"identifier": "2709191",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE ID #",
"identifier": "2207761",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890818B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- 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.