Individual provider Active NPI

Michele J Roach-Courts, PA-C

  • Physician Assistant
  • South Charleston, WV
National Provider Identifier
1427150481
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01029 Issued in WV
Practice address
509 2ND Ave
South Charleston, WV 25303-1310
Phone
(304) 720-3555
Fax
(304) 720-3556
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 01029 WV Primary

Addresses

Primary practice location

509 2ND Ave
South Charleston, WV 25303-1310

Mailing address

509 2ND Ave
South Charleston, WV 25303-1310
Phone (304) 720-3555

Other names 1

  • Michele J Roach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michele.Roach-Courts.1@17156.direct.athenahealth.com Family Health Associates of the Kanawha Valley, PLLC

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
I20060125000367 WV Practitioner - Physician Assistant 4284658519 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01029WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cabin Creek Health Center, Inc. CurrentSince Sep 28, 2014 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Sep 28, 2014 Accepting new patients

Locations

4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1427150481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 2ND AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031310",
            "telephone_number": "304-720-3555",
            "fax_number": "304-720-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 2ND AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031310",
            "telephone_number": "304-720-3555",
            "fax_number": "304-720-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH-COURTS",
        "first_name": "MICHELE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.Roach-Courts.1@17156.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Family Health Associates of the Kanawha Valley, PLLC",
            "address_1": "509 2nd Ave",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253031310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "ROACH",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.