Individual provider Active NPI

Weijun Jin

  • Neurology Physician
  • Southaven, MS
National Provider Identifier
1861812083
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32005 Issued in MS
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20190807002961 NY Practitioner - Neurology 1557609310 Reassigns benefits to 4 organizations
I20231129002139 OH Practitioner - Neurology 1557609310 Reassigns benefits to 1 organization
I20240401002995 CT Practitioner - Neurology 1557609310 Reassigns benefits to 2 organizations
I20240401003190 PA Practitioner - Neurology 1557609310 Reassigns benefits to 2 organizations
I20241017001986 MS Practitioner - Neurology 1557609310 Reassigns benefits to 1 organization
I20250313001817 TN Practitioner - Neurology 1557609310 Reassigns benefits to 1 organization
I20250505003319 AR Practitioner - Neurology 1557609310 Reassigns benefits to 1 organization
I20250723003242 NJ Practitioner - NeurologyPractitioner - Gastroenterology 1557609310 Reassigns benefits to 1 organization

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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

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

LicenseStateTypeSpecialty
MD479623PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2019 Accepting new patients
Evangelical Medical Services Organization CurrentSince Mar 20, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Evangelical Medical Services Organization Neurology CurrentSince Mar 20, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 6, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Q. T. Wang, MD. Neurology PC Neurology CurrentSince Nov 1, 2020 Accepting new patients
Practice Associates Medical Group CurrentSince Apr 27, 2025 Accepting new patients
Mount Carmel Health System CurrentSince Sep 30, 2023 Accepting new patients
SBH Physicians, PC CurrentSince Jun 1, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Mount Carmel Health System CurrentSince Sep 30, 2023 Accepting new patients
SBH Physicians, PC CurrentSince Jun 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 6, 2024 Accepting new patients
East Post Road Medical Services PC Neurology CurrentSince Oct 18, 2022 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.