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

MS. Stacy W Weaver, PA

Individual provider Physician Assistant · NPI 1609127075

MS. Stacy W Weaver, PA is a Physician Assistant in Orangeburg, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2012, 14 years ago. Practices with South Carolina Surgical PA, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2012
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

1619 Carolina Ave
Orangeburg, SC 29115-4939
Phone: (803) 537-7474
Fax: (803) 531-7457
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1829 (SC)

Record details

NPI number1609127075
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2012
Last updated in NPPESApril 23, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice South Carolina Surgical Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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