TARA ANN WEAVER
NPI 1609736453
Physician Assistant - Medical in Columbia, SC
Active since November 14, 2025
About Tara Ann Weaver NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ANN WEAVER (NPI 1609736453) is an individual medical provider in Columbia, South Carolina, licensed in South Carolina (6140) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1609736453
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA ANN WEAVER
Location Address1600 LAKE MURRAY BLVDColumbia, SC 29212-8623
Mailing Address117 White Birch CtLexington, SC 29073-6905
Phone(803) 731-9600
Sole ProprietorNo
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1609736453 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 6140
1600 LAKE MURRAY BLVD, Columbia, SC 29212
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609736453, enumerated as an "individual" on November 14, 2025.
The provider is located at 1600 LAKE MURRAY BLVD COLUMBIA, SC 29212 and the phone number is (803) 731-9600.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
