WEAVER CLINIC, LLC
NPI 1366841066
Clinic/Center in Hernando, MS

Q: What is Weaver Clinic, LLC's NPI number?

The NPI number for Weaver Clinic, LLC is 1366841066. It was assigned to this organization in the NPPES registry on August 19, 2014.

Q: What is Weaver Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 19, 2014

124 W COMMERCE ST, HERNANDO, MS 38632(901) 262-0185 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Weaver Clinic, Llc NPPES

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

WEAVER CLINIC, LLC (NPI 1366841066) is a healthcare organization registered as a clinic/center in Hernando, Mississippi and active in the NPI registry since August 2014. The organization lists Beverly Pounders Weaver, Medical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1366841066

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWEAVER CLINIC, LLC

Location Address124 W COMMERCE STHernando, MS 38632-2240

Mailing Address124 W Commerce StHernando, MS 38632-2240 · (901) 262-0185

Phone(901) 262-0185

Organization SubpartNo

Authorized OfficialBeverly Pounders WeaverMedical Supervisor · (901) 262-0185

Enumeration DateAugust 19, 2014

Last NPPES UpdateDecember 1, 2014

✔ NPI 1366841066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MS · R629189

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

124 W COMMERCE ST, Hernando, MS 38632

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Other Identifiers 3

Medicaid00122952MS

Medicare UPINP34923MS

Medicare PIN500002994MS

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY SPRINGS EYECARE PLLC

Optometrist

124 W COMMERCE ST
HERNANDO, MS 38632

Desoto County (662) 647-1818

MRS. CYNTHIA H. NICHOLS F.N.P.

Nurse Practitioner (Family)

124 W COMMERCE ST
HERNANDO, MS 38632

Desoto County (662) 429-5221

DR. ROBERT RHODES MEACHAM III M.D.

Emergency Medicine

124 W COMMERCE ST
HERNANDO, MS 38632

Desoto County (662) 429-5221

MRS. SUSAN SCOTT F.N.P.

Nurse Practitioner (Family)

124 W COMMERCE ST
HERNANDO, MS 38632

Desoto County (662) 429-5221

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 Weaver Clinic, LLC's NPI number?

The NPI number for Weaver Clinic, LLC is 1366841066. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Weaver Clinic, LLC located?

Weaver Clinic, LLC is located at 124 W Commerce St, Hernando, MS 38632. The listed phone number is (901) 262-0185.

What is Weaver Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Weaver Clinic, LLC was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.