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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TANNER DOUGLAS WEAVER DO
NPI 1265125280
Student in an Organized Health Care Education/Training Program in Danville, VA

Active since May 26, 2023PECOS Enrolled
401 BRIDGE ST APT 409, DANVILLE, VA 24541(352) 843-3107 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 9, 2026, Jun 23, 2023, May 26, 2023 (3 updates tracked since 2023).

About Dr. Tanner Douglas Weaver Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANNER DOUGLAS WEAVER DO (NPI 1265125280) is an individual student in an organized health care education/training program in Danville, Virginia and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1265125280
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TANNER DOUGLAS WEAVERCredential: DO
Location Address401 BRIDGE ST APT 409Danville, VA 24541-1236
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 759-7596
Phone(352) 843-3107
Sole ProprietorNo
Enumeration DateMay 26, 2023
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1265125280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2026-04155 (NC)
401 BRIDGE ST APT 409, Danville, VA 24541
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Secondary Practice Location 1

Location 11995 Bethabara RdWinston Salem, NC 27106-3375 · Phone (336) 759-7596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanner Douglas Weaver Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Weaver's NPI number?

The NPI number for Tanner Weaver is 1265125280. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Tanner Weaver located?

Tanner Weaver practices at 401 Bridge St Apt 409, Danville, VA 24541. The listed phone number is (352) 843-3107.

What is Tanner Weaver's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tanner Weaver enrolled in Medicare?

Yes. Tanner Weaver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Weaver was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.