NPIMap

Individual provider Active NPI

Terry Dean Weaver, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Wessington Springs, SD
National Provider Identifier
1528063997
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
E-3438 Issued in AR
Practice address
602 1St St NE Ste 1
Wessington Springs, SD 57382-2163
Phone
(605) 539-1778
NPI assigned
Jun 14, 2005
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X E-3438 AR Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X E-3438 AR

Addresses

Primary practice location

602 1St St NE Ste 1
Wessington Springs, SD 57382-2163

Mailing address

602 1St St NE Ste 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Other practice location 1

314 N 3rd Ave
Clayton, NM 88415
Phone (575) 374-2273

Other identifiers 1

IdentifierTypeStateIssuer
MD2018-0286OtherNMNMMB LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040421001586 AR Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Other (Physician) 2264428655 Reassigns benefits to 2 organizations
I20200323002178 SD Practitioner - Family Practice 2264428655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

602 1St St NE
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-3438ARMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Mar 2, 2020 Accepting new patients
Avera Queen of Peace CurrentSince Aug 25, 2025 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Aug 25, 2025 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Avera Queen of Peace Current Accepting new patients
St. Bernards Hospital Inc Geriatric Medicine CurrentSince Aug 1, 2015 Accepting new patients
Nes Kentucky Inc CurrentSince Apr 16, 2019 Accepting new patients
Garner Family Medical Clinic, Inc Past Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

303 E Matthews Ave
Ste 202
Jonesboro, AR 72401
Phone (870) 207-7555

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 10

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1528063997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 1ST ST NE STE 1",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822163",
            "telephone_number": "605-539-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 1ST ST NE STE 1",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822163",
            "telephone_number": "605-539-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NM",
            "postal_code": "88415",
            "country_code": "US",
            "telephone_number": "575-374-2273",
            "fax_number": "575-374-2498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "TERRY",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E-3438",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "E-3438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMMB LICENSE",
            "identifier": "MD2018-0286",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wessington Springs, SD

Sources for this page

Verify at the official NPI Registry.