Individual provider Active NPI

Sierra N Weaver, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1619557055
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN255118 Issued in GA
Practice address
2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone
(762) 436-9273
NPI assigned
Apr 9, 2021
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 RN255118 GA Primary

Addresses

Primary practice location

2994 Atlanta Rd SE
Smyrna, GA 30080-3655

Mailing address

1205 Metropolitan Ave SE Apt 222
Atlanta, GA 30316-1983
Phone (762) 436-9273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20210513001168 GA Practitioner - Nurse Practitioner 3274942750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (866) 389-2727

2994 Atlanta Rd SE
Smyrna, GA 30080-3655
Phone (866) 389-2727

4300 Paces Ferry Rd SE
Atlanta, GA 30339-5705
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN255118GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jan 11, 2022 Accepting new patients
TLC of Georgia LLC Family CurrentSince Apr 21, 2021 Accepting new patients
Primary Care PLLC Family CurrentSince Oct 4, 2024 Accepting new patients

Locations

965 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (678) 721-1090

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1751 Newnan Crossing Blvd E
Newnan, GA 30265
Phone (678) 423-5845

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

2994 Atlanta Rd SE
Smyrna, GA 30080
Phone (770) 435-2178

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1619557055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 METROPOLITAN AVE SE APT 222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161983",
            "telephone_number": "762-436-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2994 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803655",
            "telephone_number": "762-436-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SIERRA",
        "middle_name": "N",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN255118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.