NPIMap

Individual provider Active NPI

Jeffrey Norman Thaxton, MD

  • Plastic Surgery Physician
  • Charleston, WV
National Provider Identifier
1689755472
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
18001 Issued in WV
Practice address
505 Capitol St Ste 100
Charleston, WV 25301-1204
Phone
(304) 925-8949
Fax
(304) 925-8953
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 18001 WV Primary

Addresses

Primary practice location

505 Capitol St Ste 100
Charleston, WV 25301-1204

Mailing address

505 Capitol St Ste 100
Charleston, WV 25301-1204
Phone (304) 925-8949

Other practice location 1

210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone (304) 388-1930

Other identifiers 1

IdentifierTypeStateIssuer
1689755472MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000728 WV Practitioner - Plastic and Reconstructive Surgery 0042288391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
JC Edwards School of Medicine, Marshall University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 Capitol St
Suite 100
Charleston, WV 25301-1204
Phone (304) 925-8949

Hospital & facility affiliations

  • Camc Charleston Surgical Hospital Hospital, Charleston, WV, CCN 510091
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18001WVMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association Past Accepting new patients
Mountain State Plastic Surgeons, PLLC Plastic Surgery Past Accepting new patients

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1689755472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CAPITOL ST STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011204",
            "telephone_number": "304-925-8949",
            "fax_number": "304-925-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CAPITOL ST STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011204",
            "telephone_number": "304-925-8949",
            "fax_number": "304-925-8953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Brooks St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011848",
            "country_code": "US",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "JEFFREY",
        "middle_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "18001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689755472",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.