NPIMap

Individual provider Active NPI

Adam Christopher Weaver, P.A.

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1528076866
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103017 Issued in FL
Practice address
3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508
Phone
(877) 751-1157
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103017 FL Primary

Addresses

Primary practice location

3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508

Mailing address

3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508
Phone (877) 751-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, AL, SC, LA, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20070104000466 FL Practitioner - Physician Assistant 6800896408 Reassigns benefits to 4 organizations
I20161208000578 NC Practitioner - Physician Assistant 6800896408 Reassigns benefits to 1 organization
I20170306002428 AL Practitioner - Physician Assistant 6800896408 Reassigns benefits to 3 organizations
I20170828004179 SC Practitioner - Physician Assistant 6800896408 Reassigns benefits to 1 organization
I20180215002468 LA Practitioner - Physician Assistant 6800896408 Reassigns benefits to 1 organization
I20190910003178 GA Practitioner - Physician Assistant 6800896408 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3287TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabal Palm Emergency Physicians Past Accepting new patients
Pasco Emergency Physicians LLC Past Accepting new patients
Phoenix Emergency Services of Inverness LLC Past Accepting new patients
Emergency Medicine Associates Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aweaver564016@direct.shands.ufl.edu

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1528076866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 CROASDAILE DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052508",
            "telephone_number": "877-751-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 CROASDAILE DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052508",
            "telephone_number": "877-751-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.