NPIMap

Individual provider Active NPI

Jackson W Weaver, MD

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1467195016
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E19265 Issued in AR
Practice address
4517 Park Ave
Hot Springs, AR 71901-9476
Phone
(501) 623-7900
Fax
(501) 623-7337
NPI assigned
Apr 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E19265 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4517 Park Ave
Hot Springs, AR 71901-9476

Mailing address

1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (015) 625-7500

Other practice location 1

4228 Houma Blvd Ste 200
Metairie, LA 70006-3004
Phone (504) 454-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717002212 AR Practitioner - Family Practice 7618482696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians of Hot Springs PLLCGroup PAC ID 5698665685, shared by 3 NPIs, 51 clinicians
Healthstar Physicians Practice Management PLLCGroup PAC ID 9133523608, 14 clinicians

Practice addresses (Care Compare)

120 Adcock Rd
Hot Springs, AR 71913-7958
Phone (501) 651-4500

1661 Airport Rd
Suite D
Hot Springs, AR 71913-8184
Phone (501) 625-7500

4517 Park Ave
Hot Springs, AR 71901-9476
Phone (501) 623-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E19265ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Healthstar Physicians Practice Management PLLC Family Medicine CurrentSince Sep 21, 2025 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine CurrentSince Sep 21, 2025 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Family Medicine Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Past Accepting new patients

Locations

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1661 Airport Rd
Ste A
Hot Springs National Park, AR 71913
Phone (501) 767-2710

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

4517 Park Ave
Hot Springs National Park, AR 71901
Phone (501) 623-7900

Interoperability endpoints

  • Direct secure messaging: jackson.weaver.1@16721.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1467195016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "015-625-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 PARK AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719019476",
            "telephone_number": "501-623-7900",
            "fax_number": "501-623-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 Houma Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700063004",
            "country_code": "US",
            "telephone_number": "504-454-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JACKSON",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E19265",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.