Individual provider Active NPI

Jordan K Weaver, CRNP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1780121863
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-127484 Issued in AL
Practice address
101 Blake Ave
Muscle Shoals, AL 35661-1207
Phone
(256) 760-0422
Fax
(256) 284-6065
NPI assigned
Jan 26, 2017
Last updated
Oct 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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 1-127484 AL Primary

Addresses

Primary practice location

101 Blake Ave
Muscle Shoals, AL 35661-1207

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170223001220 AL Practitioner - Nurse Practitioner 3072897834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Specialties, P.C.Group PAC ID 1254328495, 108 clinicians
Avalon Medical GroupGroup PAC ID 3678566189, 22 clinicians

Practice addresses (Care Compare)

101 Dr WH Blake Jr Dr
Muscle Shoals, AL 35661
Phone (256) 760-0422

2410 Avalon Ave
Muscle Shoals, AL 35661-3283
Phone (256) 386-0808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-127484ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoals Primary Care, LLC Family CurrentSince Jan 30, 2017 Accepting new patients
Oncology Specialties, P.C. CurrentSince Sep 2, 2025 Accepting new patients
Avalon Medical Group CurrentSince Mar 17, 2024 Accepting new patients
Avalon Medical Group CurrentSince Jun 19, 2019 Accepting new patients

Locations

180 Cox Creek Pkwy S
Ste B
Florence, AL 35630
Phone (256) 760-0422

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

2400 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808

2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808

101 Dr W H Blake Jr Dr
Muscle Shoals, AL 35661
Phone (256) 381-1001

342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

340 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1780121863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BLAKE AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611207",
            "telephone_number": "256-760-0422",
            "fax_number": "256-284-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JORDAN",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-127484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.