Individual provider Active NPI

Thomas Raymond Weber, PA-C

  • Physician Assistant
  • Southern Pines, NC
National Provider Identifier
1265679021
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001015946 Issued in NC
Practice address
695 S Bennett St
Southern Pines, NC 28387-5919
Phone
(910) 687-4888
NPI assigned
Jan 15, 2009
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001015946 NC Primary
Medical Physician Assistant 363AM0700X PA2006-0027 NM

Addresses

Primary practice location

695 S Bennett St
Southern Pines, NC 28387-5919

Mailing address

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 687-4888

Other practice location 1

921 E Broad Ave
Rockingham, NC 28379-4338
Phone (910) 687-4888

Other practice location 2

515 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (910) 687-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251119001489 NC Practitioner - Physician Assistant 8628569464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

695 S Bennett St
Southern Pines, NC 28387-5919
Phone (910) 725-1708

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001015946NCMDPhysician Assistant
PA2006-0027NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Solutions PLLC CurrentSince Nov 17, 2025 Accepting new patients
Integrated Pain Solutions PLLC Single Specialty CurrentSince Nov 17, 2025 Accepting new patients

Locations

515 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-1775

704 Progress Pl
#A
Laurinburg, NC 28352
Phone (910) 277-2999

921 E Broad Ave
Rockingham, NC 28379
Phone (910) 817-4744

695 S Bennett St
Southern Pnes, NC 28387
Phone (910) 687-6187

Organizations & group practices 2

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1265679021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-687-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S BENNETT ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875919",
            "telephone_number": "910-687-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 E Broad Ave",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283794338",
            "country_code": "US",
            "telephone_number": "910-687-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525502",
            "country_code": "US",
            "telephone_number": "910-687-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "THOMAS",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001015946",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2006-0027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.