Individual provider Active NPI

Amber L Hedgecock, DO

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1144713264
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3500 Issued in WV
Practice address
250 Stanaford Rd Ste 105
Beckley, WV 25801-3140
Phone
(304) 254-2619
Fax
(304) 254-2669
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3500 WV Primary

Addresses

Primary practice location

250 Stanaford Rd Ste 105
Beckley, WV 25801-3140

Mailing address

250 Stanaford Rd Ste 105
Beckley, WV 25801-3140
Phone (304) 254-2619

Other practice location 1

703 Ritter Dr
Glen Morgan, WV 25813-7709
Phone (304) 255-1300

Other identifiers 1

IdentifierTypeStateIssuer
1144713264MedicaidWV

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
I20181116001256 WV Practitioner - Family PracticePractitioner - General Practice 3072867613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 6608785795, 36 clinicians

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

Hospital & facility affiliations

  • PCH Home Health Home health agency, Princeton, WV, CCN 517081
  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3500WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Oct 17, 2018 Accepting new patients
Community Health Systems, Inc. CurrentSince Oct 17, 2018 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

101 Bill Baker Way
Beckley, WV 25801

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300

Interoperability endpoints

  • Direct secure messaging: amber.hedgecock.1@14333.direct.athenahealth.com
  • Direct secure messaging: amber.hedgecock@wvafn.hcadirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1144713264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD STE 105",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-254-2619",
            "fax_number": "304-254-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD STE 105",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-254-2619",
            "fax_number": "304-254-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Ritter Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Morgan",
            "state": "WV",
            "postal_code": "258137709",
            "country_code": "US",
            "telephone_number": "304-255-1300",
            "fax_number": "304-255-5391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGECOCK",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144713264",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.