Active NPI
Neveah Health & Wellness Center, PLLC
- Family Medicine Physician
- South Charleston, WV
National Provider Identifier
1003213471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEVEAH HEALTH & WELLNESS CENTER, PLLC
- Practice address
- 538 3Rd Avenue
South Charleston, WV 25303 - Phone
- (304) 362-9883
- Fax
- (304) 362-9881
- NPI assigned
- Dec 1, 2014
- Last updated
- Mar 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Boothe
- Title
- Office Manager
- Phone
- (304) 549-8479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | WV | Primary |
Addresses
Primary practice location
538 3Rd Avenue
South Charleston, WV 25303
Mailing address
538 3Rd Avenue
South Charleston, WV 25303
Phone (304) 362-9883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2087332 | Neveah Health & Wellness Center PLLC | Provider-performed microscopy | Nov 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
538 3rd Ave
South Charleston, WV 25303
Phone (304) 362-9883
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- South Charleston, WV
- NPI 1578526943
-
- Primary Care Nurse Practitioner
- South Charleston, WV
- NPI 1659254662
Family Medicine
-
- Family Nurse Practitioner
- Charleston, WV
- NPI 1508733759
-
- Family Medicine Physician
- South Charleston, WV
- NPI 1376505206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1003213471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 3RD AVENUE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25303",
"telephone_number": "304-362-9883",
"fax_number": "304-362-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 3RD AVENUE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25303",
"telephone_number": "304-362-9883",
"fax_number": "304-362-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVEAH HEALTH & WELLNESS CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-01",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "BOOTHE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-549-8479",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.