Individual provider Active NPI

Jason Andrew Weaver, MD

  • Neurological Surgery Physician
  • Memphis, TN
National Provider Identifier
1972657252
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
42019 Issued in TN
Practice address
6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023
Phone
(901) 259-1600
Fax
(901) 259-1698
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 20411 MS
Neurological Surgery Physician 207T00000X 42019 TN Primary

Addresses

Primary practice location

6286 Briarcrest Ave Ste 200
Memphis, TN 38120-4023

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347

Other practice location 1

7580 Clarington Cv
Southaven, MS 38671-5657
Phone (901) 259-1600

Other practice location 2

500 W Broadway St Ste 310
Missoula, MT 59802-4003
Phone (406) 728-6520

Other identifiers 3

IdentifierTypeStateIssuer
42019OtherTNSTATE MEDICAL LICENSE
300267MedicaidTN
20411OtherMSSTATE MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jweaver1764657@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20070807000642 TN Practitioner - Neurosurgery 9234220146 Reassigns benefits to 1 organization
I20240923000127 MS Practitioner - Neurosurgery 9234220146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, shared by 10 NPIs, 138 clinicians

Practice addresses (Care Compare)

6286 Briarcrest Ave
Suite 200
Memphis, TN 38120-4023
Phone (901) 641-3000

7580 Clarington CV
Southaven, MS 38671-5657
Phone (901) 259-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
67.04
Promoting interoperability
100
Improvement activities
40
Cost
75.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion151
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group PC Current Accepting new patients
MSK Group, PC CurrentSince Sep 1, 2024 Accepting new patients
MSK Group, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600

5150 Airline Rd
Ste 400
Arlington, TN 38002
Phone (901) 507-1240

8010 Stage Hills Blvd
Bartlett, TN 38133
Phone (901) 937-3200

2100 Exeter Rd
Ste 200
Germantown, TN 38138
Phone (901) 522-6440

6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347

6286 Briarcrest Ave
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
Ste 200
Memphis, TN 38120
Phone (901) 259-1600

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

Interoperability endpoints

  • Direct secure messaging: jason.weaver.1@28653.direct.athenahealth.com
  • Direct secure messaging: jweaver1764657@wm.providencedirect.org
  • Direct secure messaging: jweaver28013@mlh.direct-ci.com
  • Direct secure messaging: jason.weaver.1@12906.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1972657252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-725-8347",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-259-1600",
            "fax_number": "901-259-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7580 Clarington Cv",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715657",
            "country_code": "US",
            "telephone_number": "901-259-1600",
            "fax_number": "901-259-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Broadway St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024003",
            "country_code": "US",
            "telephone_number": "406-728-6520",
            "fax_number": "406-329-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "20411",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "42019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "42019",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300267",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "20411",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweaver1764657@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 W Broadway St Ste 310",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.