Individual provider Active NPI

Patricia Erin Weaver, FNP

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1629645544
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11044180 Issued in FL
Practice address
2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161
Phone
(386) 366-6100
NPI assigned
Jun 9, 2021
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11044180 FL Primary
Family Nurse Practitioner 363LF0000X RN258564 GA

Addresses

Primary practice location

2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161

Mailing address

57 Woodhollow LN
Palm Coast, FL 32164-7919
Phone (678) 313-7678

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
I20210928001937 GA Practitioner - Nurse Practitioner 6204233695 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amity Care, LLCGroup PAC ID 8224179650, 5 clinicians

Practice addresses (Care Compare)

161 Village Pkwy NE
BLDG 7
Marietta, GA 30067-4061
Phone (678) 402-5235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11044180FLMDNurse Practitioner
RN258564GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hospice of Central Georgia, LLC CurrentSince Feb 13, 2026 Accepting new patients
Homestead Hospice of South Georgia, LLC CurrentSince Feb 13, 2026 Accepting new patients
Homestead Hospice of Cartersville, LLC CurrentSince Aug 25, 2022 Accepting new patients
Homestead Hospice of Central Georgia, LLC CurrentSince Feb 13, 2026 Accepting new patients
Homestead Hospice of South Georgia, LLC CurrentSince Feb 13, 2026 Accepting new patients
Amity Care, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1 N Tennessee St
Cartersville, GA 30120
Phone (678) 290-4817

100 Market Place Blvd
Ste 301
Cartersville, GA 30121
Phone (678) 290-4817

126 S Access Rd
Chula, GA 31733
Phone (229) 520-3052

161 Village Pkwy NE
#7
Marietta, GA 30067
Phone (678) 402-5235

10888 Crabapple Rd
Roswell, GA 30075
Phone (678) 966-0077

1744 Watson Blvd
Ste Ab
Warner Robins, GA 31093
Phone (478) 971-1099

6840 Carothers Pkwy
Ste 550
Franklin, TN 37067

Organizations & group practices 8

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1629645544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WOODHOLLOW LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647919",
            "telephone_number": "678-313-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 MASON AVE STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175161",
            "telephone_number": "386-366-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "PATRICIA",
        "middle_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11044180",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN258564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.