NPIMap

Organization Active NPI

Mountaineer Family Medicine Inc

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1124813415
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAINEER FAMILY MEDICINE INC
Practice address
310 George St
Beckley, WV 25801-2653
Phone
(681) 207-3652
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Victoria WarnerNPI 1932896560
Title
Billing Director
Phone
(681) 264-4986

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

310 George St
Beckley, WV 25801-2653

Mailing address

3258 Potomac Highlands TRL
Dunmore, WV 24934-9727

Other practice location 1

511 Blue Prince Rd
Bluefield, WV 24701-9808
Phone (681) 207-3652

Other practice location 2

1141 Cook Parkway
Oceana, WV 24870
Phone (304) 682-3109

National Provider Directory

National Provider Directory
Tax ID family
Mountaineer Family Medicine Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1124813415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3258 POTOMAC HIGHLANDS TRL",
            "city": "DUNMORE",
            "state": "WV",
            "postal_code": "249349727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012653",
            "telephone_number": "681-207-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Blue Prince Rd",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247019808",
            "country_code": "US",
            "telephone_number": "681-207-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 COOK PARKWAY",
            "address_purpose": "LOCATION",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "24870",
            "country_code": "US",
            "telephone_number": "304-682-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAINEER FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "681-264-4986"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.