Doctor profile · Federal record
Dr. Beverly Weaver, RN, MSN, FNP-BC
Nurse Practitioner · Family Nurse Practitioner · Southaven, MS
- NPI 1831140508
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3451 Goodman RD E, Ste 115
Southaven, MS 386729303
(662) 890-5555
fax (662) 890-8899 - Additional location
-
2085 Goodman RD W
Horn Lake, MS 386371416
(662) 280-7455 - Mailing address
-
2085 Goodman RD W
Horn Lake, MS 386371416
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- June 16, 2025
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Mississippi #R629189
- Medicaid
- MS #00122952
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831140508. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $18.73 |
By nature of payment
Frequently asked questions
What is Dr. Beverly Weaver's medical specialty?
Dr. Beverly Weaver practices Nurse Practitioner in Southaven, MS.
Where does Dr. Beverly Weaver practice?
Dr. Beverly Weaver practices at 3451 Goodman RD E, Southaven, MS 386729303. Office phone: 6628905555.
What is Dr. Beverly Weaver's NPI?
Dr. Beverly Weaver's National Provider Identifier (NPI) is 1831140508, issued by NPPES.