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EASTSIDE FAMILY MEDICAL CLINIC
NPI 1659447654
Family Medicine in Pulaski, TN

Active since November 28, 2006
104 IVY LN, PULASKI, TN 38478(931) 424-1330(931) 424-0019 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Family Medical Clinic NPPES

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

EASTSIDE FAMILY MEDICAL CLINIC (NPI 1659447654) is a healthcare organization registered as a family medicine in Pulaski, Tennessee and active in the NPI registry since November 2006. The organization lists Lisa Ann Weaver, Owner, as its authorized official.

NPPES Registry Identity

NPI1659447654
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLISA A WEAVER
Location Address104 IVY LNPulaski, TN 38478-4550
Mailing Address104 Ivy LnPulaski, TN 38478-4550 · (931) 424-1330 · Fax (931) 424-0019
Phone(931) 424-1330
Fax(931) 424-0019
Organization SubpartNo
Authorized OfficialLisa Ann WeaverOwner · (931) 424-1330
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 2, 2015
✔ NPI 1659447654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
104 IVY LN, Pulaski, TN 38478
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Other Names 1

Doing Business AsEastside Family Medical Clinic

Other Identifiers 3

Medicare PINP00158812TN
Medicaid3710887TN
Medicare PIN3710887TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Magnolia Health and more.Insurance ›

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.

MS. LISA ANN WEAVER FNP-C
Nurse Practitioner (Family)
104 IVY LN
PULASKI, TN 38478
Giles County (931) 424-1330
AMG-HILLSIDE LLC
Clinic/Center (Rural Health)
104 IVY LN
PULASKI, TN 38478
Giles County (931) 292-6544
MR. TIM LOUIS BROOKS LPC
Counselor (Professional)
104 IVY LN
PULASKI, TN 38478
Giles County (931) 309-7857

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 Lisa A Weaver's NPI number?

The NPI number for Lisa A Weaver is 1659447654. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Eastside Family Medical Clinic.

Where is Lisa A Weaver located?

Lisa A Weaver is located at 104 Ivy Ln, Pulaski, TN 38478. The listed phone number is (931) 424-1330.

What is Lisa A Weaver's specialty?

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

What insurance does Lisa A Weaver accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Lisa A Weaver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa A Weaver was last updated on February 2, 2015. 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.