NPIMap

Individual provider Active NPI

Jessica Marie McColley, D.O.

  • Family Medicine Physician
  • Belle, WV
National Provider Identifier
1235367335
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2800 Issued in WV
Practice address
1 Warrior Way
Belle, WV 25015-1356
Phone
(304) 949-3591
Fax
(304) 949-3791
NPI assigned
Jun 26, 2009
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 2800 WV Primary

Addresses

Primary practice location

1 Warrior Way
Belle, WV 25015-1356

Mailing address

104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040

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
I20140306002128 WV Practitioner - Family Practice 8325299852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

1720 17TH St
Huntington, WV 25701-4235
Phone (304) 529-6031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 5 PC CurrentSince Sep 24, 2025 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Jan 22, 2014 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince May 24, 2020 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Jan 22, 2014 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 11, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Apr 11, 2025 Accepting new patients
Ripley SNF Operations LLC Past Accepting new patients
Huntington SNF Operations LLC Past Accepting new patients

Locations

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

1 Warrior Way
Belle, WV 25015
Phone (304) 949-3591

1 Warrior Way
Ste 103
Belle, WV 25015
Phone (304) 949-3591

104 Alex Ln
Charleston, WV 25304
Phone 30473420401319

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

1720 17th St
Huntington, WV 25701
Phone (304) 529-6031

107 Miller Dr
Ripley, WV 25271
Phone (304) 372-5115

Organizations & group practices 9

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1235367335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-734-2040",
            "fax_number": "304-734-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARRIOR WAY",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151356",
            "telephone_number": "304-949-3591",
            "fax_number": "304-949-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLEY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle, WV

Sources for this page

Verify at the official NPI Registry.