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

TARA ANN WEAVER
NPI 1609736453
Physician Assistant - Medical in Columbia, SC

Active since November 14, 2025PECOS Enrolled
7329 NURSERY RD, COLUMBIA, SC 29212(803) 731-9600(803) 731-0297 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Nov 14, 2025 (2 updates tracked since 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. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609736453
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA ANN WEAVER
Location Address7329 NURSERY RDColumbia, SC 29212-1009
Mailing Address117 White Birch CtLexington, SC 29073-6905
Fax(803) 731-0297
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 14, 2025
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ 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
7329 NURSERY RD, Columbia, SC 29212

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

Tara Ann Weaver 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 ID1456834746
PECOS Enrollment IDI20260315000165
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.

Other Providers at the Same Location NPPES 3

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

Dermatology
7329 NURSERY RD
COLUMBIA, SC 29212
Dermatology
7329 NURSERY RD
COLUMBIA, SC 29212
Dermatology
7329 NURSERY RD
COLUMBIA, SC 29212

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 Tara Weaver's NPI number?

The NPI number for Tara Weaver is 1609736453. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Where is Tara Weaver located?

Tara Weaver practices at 7329 Nursery Rd, Columbia, SC 29212. The listed phone number is (803) 731-9600.

What is Tara Weaver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Weaver enrolled in Medicare?

Yes. Tara Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tara Weaver was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.