MARK KAINBRIDGE WEAVER (MD) – Psychiatry Physician, NPI 1033614854

MARK KAINBRIDGE WEAVER (MD) is a healthcare provider. based in Savannah, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME162418 (FL). The NPI Number for MARK KAINBRIDGE WEAVER (MD) is 1033614854

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MARK KAINBRIDGE WEAVER (MD)
NPI
1033614854
Phone
(912) 721-8144
Address
1250 E 66TH ST
Enumeration Date
25 March 2018
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8138427582
Graduation Year
2018 (8 years ago)
PAC ID
3072860451
Group Practice PAC ID
1456262450
Professional Enrollment ID
I20230828003217
Address ID
FL336076399TA2727XBLVD803
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for MARK KAINBRIDGE WEAVER (MD)

  • 1250, East 66th Street, Fairfield, Savannah, Chatham County, Georgia, 31404, United States

    SAVANNAH, GA 314045704

    Phone: (912) 721-8144

    Type: Mailing

  • 2727 W DR MARTIN LUTHER KING JR BLVD STE 640

    TAMPA, FL 336076399

    Phone: (813) 872-7582

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $431.

Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($122).

Total Amount

$431

General + Research + Ownership

Payments

4

Total payment records

General Amount

$431

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230828003217IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456262450View full group profile
NameSpecialtyState
P S Y C H I A T R YAL
Clinical Social WorkerFL
Mental Health CounselorFL
-NY
-FL
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
-FL

Reviews

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Frequently asked questions

Can I use this page to confirm MARK KAINBRIDGE WEAVER (MD)'s NPI?
Yes. MARK KAINBRIDGE WEAVER (MD) is listed with NPI 1033614854 in the public NPI dataset.
Can I rely on MARK KAINBRIDGE WEAVER (MD) being an active provider?
As of the registry snapshot, MARK KAINBRIDGE WEAVER (MD) is marked active.
What healthcare role does MARK KAINBRIDGE WEAVER (MD) hold?
Scheduling teams often label MARK KAINBRIDGE WEAVER (MD) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does MARK KAINBRIDGE WEAVER (MD) serve?
MARK KAINBRIDGE WEAVER (MD)'s listing highlights Savannah, Georgia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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