Active NPI
Alex Tyler Somerville, DO
- Family Medicine Physician
- Point Pleasant, WV
National Provider Identifier
1003511510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5006
- Practice address
- 2605 Jackson Ave
Point Pleasant, WV 25550-1698 - Phone
- (855) 446-5937
- Fax
- (304) 675-4498
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5006 | WV | Primary |
| Family Medicine Physician | 207Q00000X | 34.018454 | OH |
Addresses
Primary practice location
2605 Jackson Ave
Point Pleasant, WV 25550-1698
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1562
Phone (740) 446-5000
Other practice location 1
1051 4th Ave
Gallipolis, OH 45631-1612
Phone (740) 446-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alex.Somerville1@17389.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230714000133 | WV | Order and Referring Only - Family Practice | 1658731260 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
90 Jackson Pike
Gallipolis, OH 45631-1562
Hospital & facility affiliations
- Holzer Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.018454 | OH | MD | Family Medicine Physician |
Interoperability endpoints
- alex.somerville.1@17389.direct.athenahealth.com
- alex.somerville1@17389.direct.athenahealth.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1003511510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311562",
"telephone_number": "740-446-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 JACKSON AVE",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255501698",
"telephone_number": "855-446-5937",
"fax_number": "304-675-4498"
}
],
"practiceLocations": [
{
"address_1": "1051 4th Ave",
"address_purpose": "LOCATION",
"city": "Gallipolis",
"state": "OH",
"postal_code": "456311612",
"country_code": "US",
"telephone_number": "740-446-5000",
"fax_number": "740-446-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "ALEX",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "5006",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.018454",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alex.Somerville1@17389.direct.athenahealth.com",
"affiliation": "N",
"address_1": "100 Jackson Pike",
"city": "Gallipolis",
"state": "OH",
"country_code": "US",
"postal_code": "456311560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.