Individual provider Active NPI

Timothy C Weaver, APRN

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1285120048
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21981 Issued in SC
Practice address
3380 Pine Needles Rd
Florence, SC 29501-7908
Phone
(843) 432-2952
Fax
(843) 799-1959
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 21981 SC Primary

Addresses

Primary practice location

3380 Pine Needles Rd
Florence, SC 29501-7908

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190212003247 SC Practitioner - Nurse Practitioner 6901837020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

210 E Market St
Timmonsville, SC 29161-1812
Phone (843) 346-3730

2724 W Palmetto St
Suite 2
Florence, SC 29501-4909
Phone (843) 292-1900

Hospital & facility affiliations

  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • Pruitthealth Home Health-Florence Home health agency, Florence, SC, CCN 427129
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21981SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Aug 6, 2018 Accepting new patients
Hopehealth, Inc Family CurrentSince Aug 6, 2018 Accepting new patients
Hopehealth Inc Current Accepting new patients

Locations

150 University Pkwy
Aiken, SC 29801
Phone (803) 643-1977

157 Home Ave
Darlington, SC 29532
Phone (843) 393-2867

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

121 S Evander Dr
Florence, SC 29506
Phone (843) 432-2935

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

86 N Main St
Greeleyville, SC 29056
Phone (843) 426-2180

520 Thurgood Marshall Hwy
Ste B
Kingstree, SC 29556
Phone (843) 355-5628

148 Sauls St
Ste A
Lake City, SC 29560
Phone (843) 394-1051

652 N Matthews Rd
Lake City, SC 29560
Phone (843) 374-5119

12 W South St
Manning, SC 29102
Phone (803) 433-4124

1857 Joe S Jeffords Hwy
Orangeburg, SC 29115
Phone (803) 535-2272

210 E Market St
Timmonsville, SC 29161
Phone (843) 346-3730

Interoperability endpoints

  • Direct secure messaging: timothy.weaver@hop.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1285120048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 PINE NEEDLES RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017908",
            "telephone_number": "843-432-2952",
            "fax_number": "843-799-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.