Gary S Weaver, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1037 Issued in SC

Practice address

9570 Two Notch Rd
Ste1
Columbia, SC 29223-4308

Phone

(803) 736-2200

Fax

(803) 736-2201

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spring Valley Chiropractic

  • Chiropractor
  • Columbia, SC
  • NPI 1649463159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154482537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "STE1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234308",
            "telephone_number": "803-736-2200",
            "fax_number": "803-736-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "STE1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234308",
            "telephone_number": "803-736-2200",
            "fax_number": "803-736-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1037",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "1037",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "SC",
            "license": "1037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Weatherread
• Amanda Marie Weathers
• Natalie D Weathers, LISW-CP
• Arlondra Weaver, PA
• Audrey Weaver
• Jabe Kinnis Weaver, PHARM.D.
• Kylie Michelle Weaver, PHARMD
• Tara Ann Weaver
• William Thayer Weaver, LMSW
• Kimberly Sherese Webb, CLC

• Sports Physician Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Sports Physician Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.