Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Rae Weaver

Individual provider Physician Assistant · NPI 1598641557

Madison Rae Weaver is a Physician Assistant in Columbus, Ohio. Qualified in 2025, 1 year ago. Practices with Central Ohio Primary Care Physicians, Inc, a 487-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

3555 Olentangy River Rd Ste 1080
Columbus, OH 43214-3984
Phone: (614) 268-8164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009776RX (OH)

Record details

NPI number1598641557
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address3555 Olentangy River Rd Ste 1080, Columbus, OH 43214-3984

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Central Ohio Primary Care Physicians, Inc. — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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