Individual provider Active NPI

Chelsea Elizabeth King, PA-C

  • Physician Assistant
  • Beckley, WV
National Provider Identifier
1386998680
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1692 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3397
Phone
(304) 256-4100
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-006460 VA
Surgical Physician Assistant 363AS0400X 589 WV
Surgical Physician Assistant 363AS0400X 01692 WV
Physician Assistant 363A00000X 9236 GA
Physician Assistant 363A00000X KY
Physician Assistant 363A00000X 1692 WV Primary
Physician Assistant 363A00000X 50.004327 OH
Physician Assistant 363A00000X PA2338 KY

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3397

Mailing address

21 Meadow LN
Scott Depot, WV 25560-9762
Phone (304) 550-2065

Other practice location 1

6801 Gov George C Peery Hwy
Richlands, VA 24641
Phone (276) 596-6000

Other practice location 2

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101

Other practice location 3

415 Morris St
Suite 201
Charleston, WV 25301-1842
Phone (304) 388-7700

Other practice location 4

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

Other practice location 5

320 Hospital Dr
Martinsville, VA 24112-1900
Phone (276) 666-7200

Other practice location 6

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-2100

Other names 1

  • Ms. Chelsea Elizabeth Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY, VA, GA, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130617000028 WV Practitioner - Physician Assistant 1052550480 Reassigns benefits to 4 organizations
I20180118002829 KY Practitioner - Physician Assistant 1052550480 Reassigns benefits to 1 organization
I20190128001601 VA Practitioner - Physician Assistant 1052550480 Reassigns benefits to 2 organizations
I20191007003208 GA Practitioner - Physician Assistant 1052550480 Reassigns benefits to 1 organization
I20221114002659 NC Practitioner - Physician Assistant 1052550480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9236GAMDPhysician Assistant
50.004327OHMDPhysician Assistant
0110-006460VAMDPhysician Assistant
01692WVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC CurrentSince Jan 1, 2023 Accepting new patients
New Century Emergency Physician of West Virginia Inc Physician Assistant Past Accepting new patients
Peachtree Inpatient Consulting LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340

Organizations & group practices 13

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.

View all 13

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1386998680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MEADOW LN",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609762",
            "telephone_number": "304-550-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013397",
            "telephone_number": "304-256-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Gov George C Peery Hwy",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "VA",
            "postal_code": "24641",
            "country_code": "US",
            "telephone_number": "276-596-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013452",
            "country_code": "US",
            "telephone_number": "304-831-1101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Morris St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011842",
            "country_code": "US",
            "telephone_number": "304-388-7700",
            "fax_number": "304-388-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821044",
            "country_code": "US",
            "telephone_number": "276-228-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121900",
            "country_code": "US",
            "telephone_number": "276-666-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 S Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245412922",
            "country_code": "US",
            "telephone_number": "434-799-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006460",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "589",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "01692",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9236",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1692",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004327",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ANDERSON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.