Individual provider Active NPI

Michael Gray Nunley, M.D.

  • Ophthalmology Physician
  • Charleston, WV
National Provider Identifier
1548264302
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16744 Issued in WV
Practice address
1220 Lee St E Ste 203
Charleston, WV 25301-1864
Phone
(304) 343-4124
Fax
(304) 343-4167
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16744 WV Primary

Addresses

Primary practice location

1220 Lee St E Ste 203
Charleston, WV 25301-1864

Mailing address

1220 Lee St E Ste 203
Charleston, WV 25301-1864
Phone (304) 343-4124

Other identifiers 1

IdentifierTypeStateIssuer
0095491000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@PFFranckeMGNunleyMDsCharlestonWV.CompulinkDirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000827 WV Practitioner - Ophthalmology 2264594993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Francke and Nunley M.D.'S P.L.L.C. Current Accepting new patients
Francke and Nunley, M.D.'S P.L.L.C. CurrentSince Apr 25, 1994 Accepting new patients

Locations

1220 Lee St E
Ste 203
Charleston, WV 25301
Phone (304) 343-4124

1201 Washington St E
Ste 203
Charleston, WV 25301
Phone (304) 343-4124

Interoperability endpoints

  • Direct secure messaging: direct@pffranckemgnunleymdscharlestonwv.compulinkdirect.com

Organizations & group practices 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1548264302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LEE ST E STE 203",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011864",
            "telephone_number": "304-343-4124",
            "fax_number": "304-343-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LEE ST E STE 203",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011864",
            "telephone_number": "304-343-4124",
            "fax_number": "304-343-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "MICHAEL",
        "middle_name": "GRAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "16744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095491000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@PFFranckeMGNunleyMDsCharlestonWV.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "1220 Lee St E Ste 203",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.