MEDICARE: JAYSON L WEIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127376026	OTHER	TN	WORKERS COMPENSATION
2	127386026	OTHER	TN	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1235690322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYSON L WEIR

Provider Business Mailing Address
First Line	:	778 PLOWSON RD
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-0608
Country	:	US
Telephone Number	:	678-764-4318
Fax Number	:

Provider Business Practice Location Address
First Line	:	778 PLOWSON RD
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-0608
Country	:	US
Telephone Number	:	678-764-4318
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	05/11/2026

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Directions to “ JAYSON L WEIR ” Practice Location

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