Individual provider Active NPI

Christopher Donovan Beckett, DO

  • Adult Medicine Physician
  • Williamson, WV
National Provider Identifier
1174575898
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
1875 Issued in WV
Practice address
184 E 2ND Ave
Suite 1
Williamson, WV 25661-3602
Phone
(304) 235-1844
Fax
(304) 235-2933
NPI assigned
May 17, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 1875 WV Primary

Addresses

Primary practice location

184 E 2ND Ave
Suite 1
Williamson, WV 25661-3602

Mailing address

PO Box 300
Williamson, WV 25661-0300
Phone (304) 235-1844

Other identifiers 2

IdentifierTypeStateIssuer
64078678MedicaidKY
1810619000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000050 KY Practitioner - Family Practice 3678468394 Reassigns benefits to 1 organization
I20040922000246 WV Practitioner - Internal MedicinePractitioner - Family Practice 3678468394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

184 E 2ND Ave
Williamson, WV 25661-3602
Phone (304) 236-5902

260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Health & Wellness Center Inc CurrentSince Jan 1, 2013 Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Feb 24, 2014 Accepting new patients
Williamson Health & Wellness Center Inc Current Accepting new patients
Primary Care Associates of Williamson Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844

184 E 2nd Ave
Ste 1
Williamson, WV 25661
Phone (304) 235-1844

184 E 2nd Ave
Ste 201
Williamson, WV 25661

184 E 2nd Ave
Ste 210
Williamson, WV 25661

Interoperability endpoints

  • Direct secure messaging: christopher.beckett.1@28749.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williamson Health & Wellness Center- Behavioral Medicine ClinicWilliamson, WV, CCN 510094 Hospital Corporate Officer (100%)
W-2 Managing Employee (100%)
May 1, 2025
May 1, 2025
Williamson Health & Wellness Center IncWilliamson, WV, CCN 511032 Federally qualified health center Corporate Director (100%)
W-2 Managing Employee (10%)
Jan 1, 2013
Jan 1, 2013
Williamson Health and Wellness Center-Gilbert ClinicGilbert, WV, CCN 511165 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Nov 1, 2018
Nov 1, 2018
Williamson Health and Wellness Center- Behavioral Medicine ClinicWilliamson, WV, CCN 511170 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control
May 1, 2019
Mar 1, 2014
May 1, 2018
Williamson Health & Wellness Center IncWilliamson, WV, CCN 511177 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control
Dec 1, 2019
Dec 1, 2019
Dec 1, 2019
Williamson Health & Wellness Center - Pediatric ClinicWilliamson, WV, CCN 581804 Federally qualified health center Corporate Director (100%)
Operational/Managerial Control
Nov 1, 2020
Nov 1, 2020
Williamson Health & Wellness Center-Tug Fork ClinicWilliamson, WV, CCN 581831 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)
Mar 1, 2022
Mar 1, 2022
Mar 1, 2022
Williamson Health & Wellness Center IncWilliamson, WV, CCN 581013 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control
Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Williamson Health & Wellness Center-Williamson PK-8Williamson, WV, CCN 581040 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control
May 18, 2023
May 18, 2023
May 18, 2023
Williamson Health & Wellness Center IncWilliamson, WV, CCN 581045 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control (100%)
Jul 1, 2022
Jul 1, 2023
Jul 1, 2023
Williamson Health & Wellness Center IncWilliamson, WV, CCN 581050 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee
Jan 3, 2014
Jan 3, 2014
Jun 1, 2024
Williamson Health & Wellness Center-Matewan PK-8Matewan, WV, CCN 581078 Federally qualified health center Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Mar 12, 2014
Mar 12, 2014
Mar 12, 2014
Williamson Health & Wellness Center Burch PK 8Delbarton, WV, CCN 581085 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Oct 29, 2024
Oct 29, 2024
Williamson Health & Wellness Center- Mingo Central High SchoolDelbarton, WV, CCN 581081 Federally qualified health center Corporate Officer
Corporate Director (100%)
W-2 Managing Employee (100%)
Nov 1, 2025
Nov 1, 2025
Nov 1, 2025

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Organizations & group practices 10

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 10

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1174575898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256610300",
            "telephone_number": "304-235-1844",
            "fax_number": "304-235-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E 2ND AVE",
            "address_2": "SUITE 1",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613602",
            "telephone_number": "304-235-1844",
            "fax_number": "304-235-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "DONOVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WV",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64078678",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810619000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, WV

Sources for this page

Verify at the official NPI Registry.