Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACQUELYN STACY WEIDER PA
NPI 1669381190
Physician Assistant in Roswell, GA

Active since September 02, 2026
3000 HOSPITAL BLVD, ROSWELL, GA 30076(770) 751-2505 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jacquelyn Stacy Weider Pa NPPES

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

JACQUELYN STACY WEIDER PA (NPI 1669381190) is an individual physician assistant in Roswell, Georgia and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1669381190
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN STACY WEIDERCredential: PA
Location Address3000 HOSPITAL BLVDRoswell, GA 30076-4915
Mailing Address660 Ralph Mcgill Blvd Ne Apt 3215Atlanta, GA 30312-1158
Sole ProprietorNo
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1669381190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3000 HOSPITAL BLVD, Roswell, GA 30076

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Physical Therapist
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Rehabilitation Unit
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Family Medicine
3000 HOSPITAL BLVD, 2ND FLOOR
ROSWELL, GA 30076
Physician Assistant (Medical)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Nurse Practitioner (Family)
3000 HOSPITAL BLVD, ANESTHESIA DEPARTMENT
ROSWELL, GA 30076
Radiology (Diagnostic Radiology)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Emergency Medicine
3000 HOSPITAL BLVD
ROSWELL, GA 30076

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 Jacquelyn Weider's NPI number?

The NPI number for Jacquelyn Weider is 1669381190. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Jacquelyn Weider located?

Jacquelyn Weider practices at 3000 Hospital Blvd, Roswell, GA 30076. The listed phone number is (770) 751-2505.

What is Jacquelyn Weider's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Weider was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.