Organization Active NPI

Sageview Medical LLC

  • Clinic/Center
  • Charleston, WV
National Provider Identifier
1063364545
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAGEVIEW MEDICAL LLC
Practice address
6436 Sissonville Dr
Charleston, WV 25320-9709
Phone
(304) 513-3581
Fax
(855) 450-1211
NPI assigned
Feb 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mr. Cody Taylor, APRNNPI 1295472157
Title
Owner
Phone
(304) 881-2129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6436 Sissonville Dr
Charleston, WV 25320-9709

Mailing address

400 D St Unit 8513
South Charleston, WV 25303-5024
Phone (304) 513-3581

Other names 1

  • Sageview IV Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

6436 Sissonville Dr
Charleston, WV 25320
Phone (304) 513-3581

400 D St
Unit 8513
South Charleston, WV 25303
Phone (304) 513-3581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1063364545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 D ST UNIT 8513",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253035024",
            "telephone_number": "304-513-3581",
            "fax_number": "855-450-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 SISSONVILLE DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253209709",
            "telephone_number": "304-513-3581",
            "fax_number": "855-450-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEVIEW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-881-2129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sageview IV Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.