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

Mr. Jared Jerel Weaver, CAREGIVER

Individual provider Contractor · NPI 1407471741

Mr. Jared Jerel Weaver, CAREGIVER is a Contractor in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

210 Foxlake Dr
Statesboro, GA 30458-4400
Phone: (912) 536-6679
Fax: (912) 536-6679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X
Contractor Taxonomy 171W00000X (GA)

Record details

NPI number1407471741
Entity typeIndividual (Type 1)
GenderMale
Credentials CAREGIVER
Sole proprietorYes
NPI enumeratedJune 12, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020