Weaver Clinic, LLC
Weaver Clinic, LLC is a healthcare organization registered as Clinic/Center in Hernando, MS, holding Type 2 (organization) NPI 1366841066 since 2014. The authorized official on file is Beverly Weaver, Medical Supervisor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366841066 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Weaver Clinic, LLC |
| Practice address | 124 W COMMERCE ST, Hernando, MS, 38632 |
| Phone | 9012620185 |
| Enumeration date | 2014-08-19 |
| Last updated in NPPES | 2014-12-01 |
Authorized official
| Name | Beverly Weaver |
|---|---|
| Title | Medical Supervisor |
| Phone | 9012620185 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | R629189 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122952 | Medicaid | MS | — |
Copy-ready billing details
Provider: Weaver Clinic, LLC NPI: 1366841066 Taxonomy: 261Q00000X (Clinic/Center) Address: 124 W COMMERCE ST, Hernando, MS, 38632
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124078944 | Robert Meacham | Individual | Emergency Medicine Physician | Hernando, MS |
| 1073564050 | Cynthia Nichols | Individual | Family Nurse Practitioner | Hernando, MS |
| 1457303927 | Susan Scott | Individual | Family Nurse Practitioner | Hernando, MS |
| 1033917638 | Holly Springs Eyecare Pllc | Organization | Optometrist | Hernando, MS |
Verify this record
Cross-check NPI 1366841066 against the authoritative CMS record: view Weaver Clinic, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Weaver Clinic, LLC?
Who is the authorized official for Weaver Clinic, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-12-01.