Mark Weaver, MAED, ATC, LAT

NPI: 1194005090

Mark Weaver, MAED, ATC, LAT

Q: What is Mark Weaver's NPI number?

Mark Weaver's NPI number is 1194005090, a unique 10-digit identifier issued by CMS.

Q: What does Mark Weaver specialize in?

Mark Weaver specializes in Specialty not listed, taxonomy code 2255A2300X.

Q: Where does Mark Weaver practice?

Mark Weaver practices in Mc Kenzie, TN 38201-1769.

Q: When was Mark Weaver's NPI issued?

Mark Weaver's NPI was issued on August 23, 2011.

Q: What is Mark Weaver's provider type?

Mark Weaver is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: August 23, 2011

Quick Facts

NPI Number

1194005090

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy2255A2300X — Specialty not listed

Phone

(731) 352-4000

StateTN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1194005090)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 23, 2011)

Data source: CMS NPPES

Provider Overview

MARK WEAVER, MAED, ATC, LAT is a Healthcare provider based in Mc Kenzie, TN who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194005090

Provider TypeIndividual Provider

GenderMale

CredentialMAED, ATC, LAT

StatusActive

Enumeration DateAugust 23, 2011

Practice Location

CityMc Kenzie

StateTN

ZIP Code38201-1769

Phone(731) 352-4000

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code2255A2300X

License StateTN

Mailing Address

CityMc Kenzie

StateTN

ZIP Code38201-1769

Phone(731) 352-4000

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1194005090 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1194005090for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194005090 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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