Individual provider Active NPI

K. Coty Lee Campbell, PA-C

  • Physician Assistant
  • Mill Creek, WV
National Provider Identifier
1356747133
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01848 Issued in WV
Practice address
81 Town Center Plaza
Mill Creek, WV 26280
Phone
(304) 335-2050
NPI assigned
Nov 6, 2014
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01848 WV Primary

Addresses

Primary practice location

81 Town Center Plaza
Mill Creek, WV 26280

Mailing address

PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 335-2050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129001223 WV Practitioner - Physician Assistant 2769706456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 247
Mill Creek, WV 26280-0247

US RT 219 and
Suite 250
Mill Creek, WV 26280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care Inc. CurrentSince Nov 26, 2014 Accepting new patients
Valley Health Care Inc CurrentSince Nov 26, 2014 Accepting new patients
Valley Health Care, Inc Past Accepting new patients
Valley Health Care, Inc PastSince Nov 4, 2019 Accepting new patients

Locations

240 Allegheny Hwy
Elkins, WV 26241
Phone (304) 636-0133

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Interoperability endpoints

  • Direct secure messaging: k.coty.campbell.1@7274.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1356747133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800247",
            "telephone_number": "304-335-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 TOWN CENTER PLAZA",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "26280",
            "telephone_number": "304-335-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "K. COTY",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WV

Sources for this page

Verify at the official NPI Registry.