Active NPI
Patrick E Weldon, M.D.
- Neurology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- W0718780
- Practice address
- 1860 Chadwick Drive
Suite 258
Jackson, MS 39204 - Phone
- (601) 376-2004
- Fax
- (601) 376-2006
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | W0718780 | MS | Primary |
Addresses
Primary practice location
1860 Chadwick Drive
Suite 258
Jackson, MS 39204
Mailing address
1860 Chadwick Drive
Suite 258
Jackson, MS 39204
Phone (601) 376-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05236809 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000593 | MS | Practitioner - Neurology | 5799711628 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1030 N Flowood Dr
Suite a
Flowood, MS 39232-9532
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (601) 376-2004
Hospital & facility affiliations
- Centerwell Home Health
- Merit Health River Oaks
- Merit Health Central
- Crossgates River Oaks Hospital
- Mississippi Baptist Medical Center
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.84 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 79.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W0718780 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axon | Current | Accepting new patients |
Locations
1030 N Flowood Dr
Ste A
Jackson, MS 39232
Phone (601) 387-9005
5903 Ridgewood Rd
Jackson, MS 39211
Phone (601) 376-2022
1860 Chadwick Dr
Ste 258
Jackson, MS 39204
Phone (601) 376-2004
1030 N Flowood Dr
Jackson, MS 39232
Phone (601) 932-8622
Interoperability endpoints
- patrick.weldon.1@21875.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003907460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 CHADWICK DRIVE",
"address_2": "SUITE 258",
"city": "JACKSON",
"state": "MS",
"postal_code": "39204",
"telephone_number": "601-376-2004",
"fax_number": "601-376-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 CHADWICK DRIVE",
"address_2": "SUITE 258",
"city": "JACKSON",
"state": "MS",
"postal_code": "39204",
"telephone_number": "601-376-2004",
"fax_number": "601-376-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "PATRICK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "W0718780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05236809",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.