NPIMap

Individual provider Active NPI

Nathan Alan Baisden, MD

  • Neurology Physician
  • South Charleston, WV
National Provider Identifier
1093393241
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35719 Issued in WV
Practice address
4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364
Phone
(304) 767-7900
NPI assigned
Mar 30, 2021
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35719 WV Primary

Addresses

Primary practice location

4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364

Mailing address

4607 Maccorkle Ave SW Ste 400
South Charleston, WV 25309-1364
Phone (304) 767-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924003956 WV Practitioner - Neurology 1456753201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4607 Maccorkle Ave SW
Suite 400
South Charleston, WV 25309-1364
Phone (304) 767-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
998WVMDClinical Psychologist
35719WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association CurrentSince Dec 1, 2025 Accepting new patients
Community Health Association CurrentSince Dec 1, 2025 Accepting new patients
THS Physician Partners Inc Neurology CurrentSince Sep 19, 2025 Accepting new patients
Community Health Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

186 Pinnell St
Ripley, WV 25271
Phone (304) 373-1546

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309
Phone (304) 766-4400

Organizations & group practices 4

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1093393241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-767-7900",
            "fax_number": "304-414-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-767-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISDEN",
        "first_name": "NATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "35719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.