Patricia Erin Weaver, FNP
Individual provider Active NPI Nurse Practitioner · Daytona Beach, FL
NPI 1629645544 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1629645544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11044180 (FL)
- Practice address
- 2381 Mason Ave Ste 100
Daytona Beach, FL 32117-5161 - Phone
- (386) 366-6100
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amity Care, LLC
Practice addresses (Care Compare)
161 Village Pkwy NE
BLDG 7
Marietta, GA 30067-4061
Phone (678) 402-5235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928001937 | GA | Practitioner - Nurse Practitioner | 6204233695 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258564 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Hospice of Central Georgia, LLC | Current |
Accepting new patients | |
| Homestead Hospice of Central Georgia, LLC | Current |
Accepting new patients | |
| Homestead Hospice of South Georgia, LLC | Current |
Accepting new patients | |
| Homestead Hospice of Cartersville, LLC | Current |
Accepting new patients | |
| Homestead Hospice of South Georgia, LLC | Current |
Accepting new patients | |
| Amity Care, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11044180 | FL | Yes |
| 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
Other providers in Daytona Beach, FL
- Joseph Thomas Watson
- Joslynn Watson
- Lindsey Watson
- Mattie Marie Watson
- James Robert Weaver Jr.
- Cherise Webb
- Kettia Jenny Webber
- Cody Weber
- Hali Weeks
- Julie Rae Weinberg
All providers in Daytona Beach, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.