Jazmine Weathersby

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14885 Issued in NC

Practice address

202 McGill Ave NW Ste D
Concord, NC 28025-4615

Phone

(704) 792-2242

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jazmine.weathersby.1@12871.direct.athenahealth.com

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.

• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS - McGill Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Concord, NC
  • NPI 1396782710
  Medicare reassignment NPD (past)
• Cabarrus Rowan Community Health Centers, Inc.

  dba Aphs - Salisbury Health Center

  • Federally Qualified Health Center (FQHC)
  • Salisbury, NC
  • NPI 1336780576
  NPD
• Cabarrus Rowan Community Health Centers, Inc.

  dba APHS-China Grove Family Medicine

  • Federally Qualified Health Center (FQHC)
  • China Grove, NC
  • NPI 1528304235
  NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1699469643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202D MCGILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "704-792-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MCGILL AVE NW STE D",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254615",
            "telephone_number": "704-792-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "JAZMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Watkins
• Cheryl Lawrence Watson, D.C.
• Jennifer Watts
• Kathryn Teal Watts, D.M.D., M.S.
• Elizabeth Weatherford, CSAC
• Serenity Webb
• Tristian Webb
• Robyn Weinlauf
• Zachary James Weir
• Kayla Rose Welch, PHARMD

• Physician Assistant in Concord, NC
• Providers in Concord, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.