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

Mr. Jeffrey Thomas Weeden, PA

Individual provider Physician Assistant · NPI 1972539286

Mr. Jeffrey Thomas Weeden, PA is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2006, 20 years ago. Practices with Grand Strand Surgical Specialists LLC, a 57-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone: (843) 497-7772
Fax: (843) 848-7530
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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 2063 (SC)

Record details

NPI number1972539286
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJanuary 13, 2022
Certification dateFebruary 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Grand Strand Surgical Specialists Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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