Individual provider Active NPI

Timothy Deskins, PA-C

  • Physician Assistant
  • Logan, WV
National Provider Identifier
1366833576
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1813 Issued in WV
Practice address
122 Nick Savas Dr
Logan, WV 25601-3468
Phone
(304) 752-8081
Fax
(304) 752-8083
NPI assigned
Feb 10, 2015
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1813 WV Primary
Surgical Physician Assistant 363AS0400X 01813 WV

Addresses

Primary practice location

122 Nick Savas Dr
Logan, WV 25601-3468

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

Other practice location 1

5348 N Fork Rd
Chapmanville, WV 25508-5361
Phone (304) 785-1544

Other practice location 2

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

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
I20180324000128 WV Practitioner - Physician Assistant 2961764394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7400 Lynn Ave
Hamlin, WV 25523-1138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1813WVMDCounselor
01813WVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc CurrentSince Jan 22, 2018 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc CurrentSince Jan 22, 2018 Accepting new patients
Lincoln County Primary Care Center, Inc PastSince Mar 12, 2023 Accepting new patients

Locations

267 Midway Rd
Alum Creek, WV 25003
Phone (304) 756-1007

5322 McClellan Hwy
Branchland, WV 25506
Phone (304) 824-5707

506 Crawley Creek Rd
Chapmanville, WV 25508
Phone (304) 855-0245

7400 Lynn Ave
Hamlin, WV 25523

81 Lincoln Panther Way
Hamlin, WV 25523
Phone (304) 824-6090

1 Wildcat Way
Logan, WV 25601
Phone (304) 688-9949

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

1 Pioneer Path
Man, WV 25635
Phone (304) 583-7295

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

Interoperability endpoints

  • Direct secure messaging: timothy.deskins.1@6401.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1366833576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NICK SAVAS DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013468",
            "telephone_number": "304-752-8081",
            "fax_number": "304-752-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5348 N Fork Rd",
            "address_purpose": "LOCATION",
            "city": "Chapmanville",
            "state": "WV",
            "postal_code": "255085361",
            "country_code": "US",
            "telephone_number": "304-785-1544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Lynn Ave",
            "address_purpose": "LOCATION",
            "city": "Hamlin",
            "state": "WV",
            "postal_code": "255231138",
            "country_code": "US",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESKINS",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1813",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "01813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.