Individual provider Active NPI

Janelle Weaver, MD, PHD

  • Family Medicine Physician
  • Raphine, VA
National Provider Identifier
1891285490
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101277193 Issued in VA
Practice address
25 Commerce Park Dr
Raphine, VA 24472-2547
Phone
(540) 490-2527
Fax
(540) 377-2099
NPI assigned
May 18, 2018
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61110377 WA
Family Medicine Physician 207Q00000X MD61110377 WA
Family Medicine Physician 207Q00000X 0101277193 VA Primary

Addresses

Primary practice location

25 Commerce Park Dr
Raphine, VA 24472-2547

Mailing address

25 Commerce Park Dr
Raphine, VA 24472-2547
Phone (540) 490-2527

Other practice location 1

201 Lew DeWitt Blvd Ste B
Waynesboro, VA 22980-1663
Phone (540) 245-7950

Other practice location 2

907 Georgiana St
Port Angeles, WA 98362-3911
Phone (360) 565-0999

Other practice location 3

78 Medical Center Drive
Heart & Vascular 2nd Floor
Fishersville, VA 22939
Phone (540) 932-5595

Other practice location 4

525 Lilly Rd NE
Olympia, WA 98506-5101
Phone (360) 493-7230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janelle.weaver.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211019003158 WA Practitioner - Family Practice 6608116363 Reassigns benefits to 2 organizations
I20230629001756 VA Practitioner - Family Practice 6608116363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

25 Commerce Park Dr
Raphine, VA 24472-2547
Phone (540) 490-2527

60 Commerce Park Dr
Raphine, VA 24472-2547
Phone (540) 490-2527

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
61110377WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 7, 2021 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Jul 7, 2021 Accepting new patients
Augusta Medical Group CurrentSince Jul 21, 2025 Accepting new patients
Augusta Medical Group CurrentSince Jul 21, 2025 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Oct 22, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 22, 2021 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 2
Fishersville, VA 22939
Phone (540) 245-7080

8644 Sudley Rd
#220
Manassas, VA 20110

25 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

201 Lew Dewitt Blvd
#B
Waynesboro, VA 22980
Phone (540) 245-7950

1620 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 486-6710

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: janelle.weaver.1@14718.direct.athenahealth.com
  • Direct secure messaging: janelle.weaver.1@8042.direct.athenahealth.com
  • Direct secure messaging: jweaver923632@wm.providencedirect.org

Organizations & group practices 8

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1891285490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMERCE PARK DR",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "244722547",
            "telephone_number": "540-490-2527",
            "fax_number": "540-377-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMERCE PARK DR",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "244722547",
            "telephone_number": "540-490-2527",
            "fax_number": "540-377-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lew DeWitt Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229801663",
            "country_code": "US",
            "telephone_number": "540-245-7950",
            "fax_number": "540-245-7951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 Georgiana St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623911",
            "country_code": "US",
            "telephone_number": "360-565-0999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "78 Medical Center Drive",
            "address_2": "Heart & Vascular 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "22939",
            "country_code": "US",
            "telephone_number": "540-932-5595",
            "fax_number": "540-932-5596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065101",
            "country_code": "US",
            "telephone_number": "360-493-7230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JANELLE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61110377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61110377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101277193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janelle.weaver.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "78 Medical Center Drive",
            "address_2": "Heart & Vascular 2nd Floor",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raphine, VA

Sources for this page

Verify at the official NPI Registry.