Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235668682 Individual Practitioner Female Practitioner

Berthina Gaynell Weaver , PRACTICLE NURSE

Licensed Practical Nurse • Rex, GA

Professional Overview & Biography Verified Profile Summary

Berthina Weaver, PRACTICLE NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Rex, GA. Practice services are available at 5820 REX RIDGE LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5820 Rex Ridge Loop

Rex, GA 30273

Telephone 4046434050

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Rex, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Rex, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN064458

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License GA 064458

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Licensed Practical Nurse (License #064458 in GA)

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2017

Registered at 5820 REX RIDGE LOOP, REX, GA 30273 (Tel: (404) 643-4050)

📍
Updated Business Mailing Address June 08, 2017

Registered at 5820 REX RIDGE LOOP, REX, GA 302735240 (Tel: 4046434050)

👤
Provider Name / Credentials Updated June 08, 2017

Recorded as BERTHINA WEAVER, PRACTICLE NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Licensed Practical Nurse (License #LPN064458 in GA)

🟢
Initial NPI Registration & Enumeration June 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235668682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

5820 Rex Ridge Loop

Rex, GA 302735240

Phone: 4046434050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.