Individual provider Active NPI

Rachel Raney Weaver-Hall, APRN,FNP-BC

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1174039481
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN119407 Issued in GA
Practice address
209 Prior Ave
Brunswick, GA 31525-2326
Phone
(912) 996-6081
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN119407 GA Primary

Addresses

Primary practice location

209 Prior Ave
Brunswick, GA 31525-2326

Mailing address

209 Prior Ave
Brunswick, GA 31525-2326
Phone (912) 996-6081

Other practice location 1

209 Prior Ave
Brunswick, GA 31525-2326
Phone (912) 996-6081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181008001641 GA Practitioner - Nurse Practitioner 1951212760 Reassigns benefits to 2 organizations
I20241002004095 FL Practitioner - Nurse Practitioner 1951212760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians
Physical Medicine Specialists, IncGroup PAC ID 1658335328, 60 clinicians

Practice addresses (Care Compare)

3222 Shrine Rd a
Brunswick, GA 31520-4357
Phone (912) 264-6303

3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
85.3

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN119407GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Home Care CurrentSince Sep 2, 2025 Accepting new patients
Physical Medicine Specialists, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince May 6, 2018 Accepting new patients

Locations

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

3222 Shrine Rd
Ste A
Brunswick, GA 31520
Phone (912) 264-6303

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

1315 S Main St
Ste A
Moultrie, GA 31768
Phone (229) 668-0183

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1174039481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PRIOR AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252326",
            "telephone_number": "912-996-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PRIOR AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252326",
            "telephone_number": "912-996-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Prior Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315252326",
            "country_code": "US",
            "telephone_number": "912-996-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER-HALL",
        "first_name": "RACHEL",
        "middle_name": "RANEY",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN119407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.