NPIMap

Individual provider Active NPI

Nathaniel Lewis Rainey, PA-C

  • Physician Assistant
  • Dunbar, WV
National Provider Identifier
1376150755
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2452 Issued in WV
Practice address
1100 Grosscup Ave
Dunbar, WV 25064-3120
Phone
(304) 768-8811
Fax
(304) 768-4072
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 2452 WV Primary

Addresses

Primary practice location

1100 Grosscup Ave
Dunbar, WV 25064-3120

Mailing address

1100 Grosscup Ave
Dunbar, WV 25064-3120
Phone (304) 768-8811

Other practice location 1

3752 Teays Valley Rd
Hurricane, WV 25526-9553
Phone (304) 757-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jplilly@dma.gwaydirect.com Dunbar Medical Associates PLLC

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
I20210128001290 WV Practitioner - Physician Assistant 3274947502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dunbar Medical Associates PLLCGroup PAC ID 7517868813, 12 clinicians

Practice addresses (Care Compare)

1100 Grosscup Ave
Dunbar, WV 25064-3120
Phone (304) 768-8811

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

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
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 12

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1376150755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GROSSCUP AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643120",
            "telephone_number": "304-768-8811",
            "fax_number": "304-768-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GROSSCUP AVE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643120",
            "telephone_number": "304-768-8811",
            "fax_number": "304-768-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3752 Teays Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269553",
            "country_code": "US",
            "telephone_number": "304-757-3131",
            "fax_number": "304-760-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "NATHANIEL",
        "middle_name": "LEWIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jplilly@dma.gwaydirect.com",
            "affiliation": "Y",
            "affiliationName": "Dunbar Medical Associates PLLC",
            "address_1": "1100 Grosscup Ave",
            "city": "Dunbar",
            "state": "WV",
            "country_code": "US",
            "postal_code": "250643120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

Verify at the official NPI Registry.