Kevin Douglas Junkins, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26145 Issued in WV

Practice address

65 Professional PL Ste 102
Bridgeport, WV 26330

Phone

(304) 848-5770

NPI assigned

Apr 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.junkins.1@4803.direct.athenahealth.com

All facility ownership & control disclosures 30

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 30

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Slatyfork, WV
  • NPI 1215741665

  Corporate Officer

  CMS ownership
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121

  Corporate Officer

  CMS ownership
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1992755789

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1063808418

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1073562641

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1093765869

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke, WV
  • NPI 1104292168

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marlinton, WV
  • NPI 1164653457

  Corporate Officer

  CMS ownership
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1164809802

  Corporate Officer

  CMS ownership

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.

• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1063048189

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marlinton, WV
  • NPI 1164653457

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1275271611

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1609042266

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1619348844

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1619464369

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1770917577

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1891241030

  WV

  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1194339309

  WV

  Medicare reassignment
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  NPD

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1629344858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 PINECREST DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265058031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROFESSIONAL PL STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-848-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052807",
            "country_code": "US",
            "telephone_number": "304-598-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNKINS",
        "first_name": "KEVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WV",
            "license": "26145",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "26145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Jones, DO
• Laura Sue Joseph, MS
• Cameron Jougras, OTR/L
• Holly Jude
• Julie K McCammon MD Inc
• Judie Kane, PPCNP
• Narine Karakashian, PHD
• Kaufmann Leslie Kaufmann
• Angela Kay Kelley
• Craig Patrick Kelley, D.C.

• All providers in Bridgeport, WV
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.