Jason R Southall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

01257 Issued in WV

Practice address

2 Stonecrest Dr
Huntington, WV 25701-9391

Phone

(304) 525-2273

Fax

(304) 525-2165

NPI assigned

Mar 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Occumed LLCGroup PAC ID 6507864899, 9 clinicians

St. Mary'S Medical Management, LLCGroup PAC ID 5890897151, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.southall@marshall.cernerdirect.com
• Direct secure messaging: jason.southall@smmm.cernerdirect.com
• Direct secure messaging: jason.southall@direct.chhi.org

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.

• Occumed, LLC

  • Urgent Care Clinic/Center
  • Huntington, WV
  • NPI 1639289937
  Medicare reassignment Care Compare group
• St. Mary'S Medical Management, LLC

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1922155217
  Medicare reassignment Care Compare group
• St. Mary'S Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454
  Medicare reassignment NPD
• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Physician Assistant

  Medicare reassignment NPD
• St. Mary'S Medical Management, LLC

  • Orthopaedic Surgery Physician
  • Huntington, WV
  • NPI 1205596665

  Physician Assistant

  NPD
• St Marys Medical Center, Inc.

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1104681485
  NPD (past)

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

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1316117930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019391",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019391",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 US Route 60 Ste A105",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058859",
            "country_code": "US",
            "telephone_number": "304-528-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2827 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021435",
            "country_code": "US",
            "telephone_number": "304-399-7182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHALL",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316117930",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080128",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P0071530",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100109950",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.southall@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3075 US Route 60 Ste A105",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257058859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Southall@smmm.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "SMMM",
            "address_1": "2827 5th Ave",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jason.Southall@direct.chhi.org",
            "affiliation": "N",
            "endpointDescription": "OccuMed, LLC",
            "address_1": "2 Stonecrest Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257019391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Somerville, APRN, FNP-C
• Martha A. Sommers, MD
• Shiyi Jeffrey Song, M.D.
• Jessica Sorenson, MA
• Clara Rashawn Sorrells
• Southgate Wilder Emergency Medical Service
• Southwestern Community Action Council
• Southwestern Community Action Council Inc
• Southwestern Community Action Council Inc.
• Joshua Adam Sova, RN

• Physician Assistant in Huntington, WV
• Providers in Huntington, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.

Verify at the official NPI Registry.