Active NPI
Amber L Hedgecock, DO
- Family Medicine Physician
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144713264 | Medicaid | WV |
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
Enrollment records 1
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
Practice addresses (Care Compare)
252 Rural Acres Dr
Beckley, WV 25801-3503
Hospital & facility affiliations
- PCH Home Health
- Centerwell Home Health
- Raleigh General Hospital
- Beckley Arh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3500 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems Inc | Current | Accepting new patients | |
| Community Health Systems, Inc. | Current | 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
- amber.hedgecock.1@14333.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1588738538
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1194510644
-
- Obstetrics & Gynecology Physician
- Cincinnati, OH
- NPI 1497716005
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1568461440
-
- Home Health Agency
- Beckley, WV
- NPI 1265461545
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.