Individual provider Active NPI

Rachel Sowards, M.D.

  • Internal Medicine Physician
  • Scott Depot, WV
National Provider Identifier
1033296389
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24152 Issued in WV
Practice address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone
(304) 757-6999
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24152 WV Primary
Psychiatry Physician 2084P0800X 24152 WV

Addresses

Primary practice location

301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552

Mailing address

121 Brentwood Rd
Nitro, WV 25143-1169
Phone (843) 469-9536

Other identifiers 2

IdentifierTypeStateIssuer
3810018227MedicaidWV
9471571OtherAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001047 WV Practitioner - PsychiatryPractitioner - Internal Medicine 8921132630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Highlands Community Mental Health Center IncGroup PAC ID 4486629235, 13 clinicians

Practice addresses (Care Compare)

200 12TH St Ext
Princeton, WV 24740-2329
Phone (304) 425-9541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Highlands Community Mental Health Center, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Psimed, Inc. Psychiatry CurrentSince Jan 3, 2015 Accepting new patients

Locations

1520 Kanawha Blvd E
Charleston, WV 25311
Phone (681) 265-9047

102 Howard Ave
Mullens, WV 25882
Phone (304) 294-5353

200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1033296389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BRENTWOOD RD",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431169",
            "telephone_number": "843-469-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609552",
            "telephone_number": "304-757-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWARDS",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "24152",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "24152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018227",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9471571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.