Kyle Derek Weaver (NPI# 1427145549, PAC ID# 2365438066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1427145549 |
| PAC ID by PECOS | 2365438066 |
| Professional Enrollment ID | I20040618000494 |
| Full Name | Kyle Derek Weaver |
| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Address |
700 W Forest Ave Suite 200 Jackson TN 38301-3940 |
| Phone Number | 7315419490 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | NEUROSURGERY |
| Secondary Specialties | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 3971781006 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 | 7315419490 | WEST TENNESSEE MEDICAL GROUP, INC |
| 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 4239155000 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234314847 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 | 4234312727 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6035 | 4234312350 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 652 S Medical Ctr Dr, Suite 420, St George, UT 84790-7049 | 4352513700 | IHC HEALTH SERVICES INC |
| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy E Bartholomew | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| William Jake Lancaster | Internal Medicine | West Tennessee Medical Group, Inc | 587 Skyline Dr, Jackson, TN 38301-3938 |
| Robin D Atkinson | Obstetrics/gynecology | West Tennessee Medical Group, Inc | 657 Skyline Dr, Jackson, TN 38301-3903 |
| Joanne C Frazee | Nurse Practitioner | West Tennessee Medical Group, Inc | 27 Medical Ctr Dr, Jackson, TN 38301-3949 |
| John William Vinson | Family Medicine | West Tennessee Medical Group, Inc | 270 E Court Ave, Suite B, Selmer, TN 38375-0000 |
| Timothy F Linder | Family Medicine | West Tennessee Medical Group, Inc | 9550 Hwy 412 W, Lexington, TN 38351-5849 |
| James D Day | General Surgery | West Tennessee Medical Group, Inc | 395 Hospital Blvd, Jackson, TN 38305-2080 |
| Keith L Atkins | Internal Medicine | West Tennessee Medical Group, Inc | 640 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Saif M Tahsin | Hospitalist | West Tennessee Medical Group, Inc | 620 Skyline Dr, Jackson, TN 38301-3923 |
| Brittain D Little | Gastroenterology | West Tennessee Medical Group, Inc | 620 Skyline Dr, Jackson, TN 38301-3923 |
| Street Address |
700 W FOREST AVE SUITE 200 |
| City | JACKSON |
| State | TN |
| Zip | 38301-3940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy E Bartholomew | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Karl A Sillay | Neurosurgery | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Leslie Carroll | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Troy D Adkins | Nurse Practitioner | Jackson Clinic Pa | 700 W Forest Ave, Jackson, TN 38301-3937 |
| Tina R Miller | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Emily T Wolfe | Plastic and Reconstructive Surgery | Jackson Clinic Pa | 700 W Forest Ave, Jackson, TN 38301-3937 |
| Taylor B Mclean | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| David Michael Hall | General Surgery | Jackson Clinic Pa | 700 W Forest Ave, Jackson, TN 38301-3937 |
| Margaret Macgregor | Neurosurgery | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Matthew A Ramsey | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lynn Scott | Family Practice | Lift Wellness Inc | 101 Jackson Walk Plaza, Jackson, TN 38301 |
| Abby L Mays | Registered Dietitian Or Nutrition Professional | Jackson Madison County General Hospital | 101 Jackson Walk Plz, Jackson, TN 38301-3008 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Katie A Johnson | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Conrado B Sioson | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Somer L Lambert | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Claude Joseph Pirtle | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Betsy Akin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Jaclyn A Bane | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Lindsay Barnett | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Find all physicians in zip 38301 | |||
| City | JACKSON |
| Zip Code | 38301 |
| Specialty | NEUROSURGERY |
| City + Specialty | JACKSON + NEUROSURGERY |
Please comment or provide details below to improve the information on Kyle Derek Weaver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.