NPIMap

Individual provider Active NPI

Alison Nicole Poole, P.A.-C

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1407026172
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01112 Issued in WV
Practice address
100 Tracy Way
Charleston, WV 25311-1257
Phone
(304) 343-4583
Fax
(304) 342-6927
NPI assigned
Mar 10, 2008
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 01112 WV Primary

Addresses

Primary practice location

100 Tracy Way
Charleston, WV 25311-1257

Mailing address

100 Tracy Way
Charleston, WV 25311-1257
Phone (304) 343-4583

Other practice location 1

400 Prestige Park Dr # A-1
Hurricane, WV 25526-8420
Phone (304) 343-4583

Other identifiers 1

IdentifierTypeStateIssuer
0101405000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120127000005 WV Practitioner - Physician Assistant 0648447987 Reassigns benefits to 2 organizations
I20260227003129 NC Practitioner - Physician Assistant 0648447987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical Clinic, PAGroup PAC ID 5395641823, 14 clinicians

Practice addresses (Care Compare)

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112WVMDCounselor
01112WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic CurrentSince Dec 22, 2025 Accepting new patients
First Care Medical Clinic, PA CurrentSince Dec 22, 2025 Accepting new patients
Neurological Associates, Inc. CurrentSince Jan 1, 2018 Accepting new patients
West Virginia Foot & Ankle, PLLC PastSince Sep 1, 2024 Accepting new patients
Point Pleasant Physician Billing Services Physician Assistant PastSince May 1, 2018 Accepting new patients
John a. Wade, Jr. MD, Inc. Past Accepting new patients

Locations

404 S Sutherland Ave
Monroe, NC 28112

100 Tracy Way
Charleston, WV 25311
Phone (304) 343-4583

415 Morris St
Ste 400
Charleston, WV 25301
Phone (304) 344-3551

400 Prestige Park Dr
#A1
Hurricane, WV 25526
Phone (304) 757-2771

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 6

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1407026172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-342-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRACY WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111257",
            "telephone_number": "304-343-4583",
            "fax_number": "304-342-6927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Prestige Park Dr # A-1",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268420",
            "country_code": "US",
            "telephone_number": "304-343-4583",
            "fax_number": "304-343-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "ALISON",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101405000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.