Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Edward Weaver Jr., MDPHD

Individual provider Neurological Surgery Physician · NPI 1801899554

Dr. Charles Edward Weaver Jr., MDPHD is a Neurosurgery in Canton, Georgia. Graduated from Boston University School of Medicine in 1998, 28 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
28
Trained at
Boston University School of Medicine
Licensed in
GA
In the registry since
2005

Practice location Address checks out

470 Northside Cherokee Blvd Ste 170
Canton, GA 30115-8029
Phone: (770) 721-9540
Fax: (770) 721-9541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 56242 (GA)

Record details

NPI number1801899554
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 25, 2005
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Canton