JACKSON W WEAVER MD
NPI 1467195016
Family Medicine in Hot Springs, AR

Q: What is Jackson Weaver's NPI number?

The NPI number for Jackson Weaver is 1467195016. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Jackson Weaver's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Weaver was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment

4517 PARK AVE, HOT SPRINGS, AR 71901(501) 623-7900(501) 623-7337 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Apr 20, 2022 (2 updates tracked since 2022).

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About Jackson W Weaver Md NPPES

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

JACKSON W WEAVER MD (NPI 1467195016) is an individual family medicine provider in Hot Springs, Arkansas, licensed in Arkansas (E19265) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Metairie, and is a graduate of University Of Arkansas College Of Medicine (2022).

NPPES Registry Identity

NPI1467195016

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACKSON W WEAVERCredential: MD

Location Address4517 PARK AVEHot Springs, AR 71901-9476

Mailing Address1661 Airport Rd Ste DHot Springs, AR 71913-8184 · (015) 625-7500

Phone(501) 623-7900

Fax(501) 623-7337

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2022

Enumeration DateApril 20, 2022

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1467195016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E19265

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4517 PARK AVE, Hot Springs, AR 71901

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Secondary Practice Location 1

Location 14228 Houma Blvd Ste 200Metairie, LA 70006-3004 · Phone (504) 454-7878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson W Weaver Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618482696

PECOS Enrollment IDI20250717002212

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

FOUNTAIN LAKE FAMILY PHARMACY LLC

Pharmacy

4517 PARK AVE, SUITE B
HOT SPRINGS, AR 71901

Garland County (501) 547-3400

HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC

Family Medicine