Active NPI
Weijun Jin
- Neurology Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 32005
- Practice address
- 7601 Southcrest Pkwy
Southaven, MS 38671-4739 - Phone
- (662) 772-4000
- Fax
- (662) 772-2111
- NPI assigned
- Apr 28, 2014
- Last updated
- Jan 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 32005 | MS | Primary |
| Neurology Physician | 2084N0400X | MD479623 | PA | |
| Vascular Neurology Physician | 2084V0102X | 292414 | NY |
Addresses
Primary practice location
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281
Other practice location 1
3 Hospital Dr Ste 206
Lewisburg, PA 17837-9394
Phone (570) 522-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH, CT, PA, MS, TN, AR, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264
1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 752-6131
2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610
25 Monument Rd
York, PA 17403-5073
3 Hospital Dr
Suite 212
Lewisburg, PA 17837-9394
Phone (570) 524-6766
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130
99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD479623 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Neurology | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Q. T. Wang, MD. Neurology PC | Neurology | Current | Accepting new patients |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Mount Carmel Health System | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| East Post Road Medical Services PC | Neurology | Current | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients |
Locations (25 of 32)
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
450 Clarkson Ave
#1262
Brooklyn, NY 11203
Phone (718) 270-7379
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
13107 40th Rd
Ste E8
Flushing, NY 11354
Phone (410) 227-1708
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- weijunjin@mai.allscriptsdirect.net
Organizations & group practices 19
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.
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
Neurology
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
Neurology
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
dba Mount Carmel Health System Physicians
- Internal Medicine Physician
- Columbus, OH
- NPI 1457617235
-
- Neurology Physician
- Flushing, NY
- NPI 1336663343
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1861812083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "877-348-1281",
"fax_number": "901-227-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 SOUTHCREST PKWY",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714739",
"telephone_number": "662-772-4000",
"fax_number": "662-772-2111"
}
],
"practiceLocations": [
{
"address_1": "3 Hospital Dr Ste 206",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379394",
"country_code": "US",
"telephone_number": "570-522-9771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIN",
"first_name": "WEIJUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "32005",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD479623",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NY",
"license": "292414",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.