Active NPI
Lisa R Newell, D.O.
- Family Medicine Physician
- South Charleston, WV
National Provider Identifier
1720071194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1820
- Practice address
- 267 Staunton Ave
South Charleston, WV 25303-2503 - Phone
- (304) 768-0321
- Fax
- (833) 972-5595
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1820 | WV | Primary |
Addresses
Primary practice location
267 Staunton Ave
South Charleston, WV 25303-2503
Mailing address
267 Staunton Ave
South Charleston, WV 25303-2503
Phone (304) 768-0321
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1820 | WV | MD | Family Medicine Physician |
| 542 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems Inc | Current | Accepting new patients | |
| Community Health Systems, Inc. | Current | Accepting new patients | |
| Fayette Clinic, PLLC | Family Medicine | Past | Accepting new patients |
Locations
252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551
Interoperability endpoints
- lisa.newell.3@23284.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1588738538
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1194510644
-
- Family Medicine Physician
- Lochgelly, WV
- NPI 1851580468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1720071194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 STAUNTON AVE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032503",
"telephone_number": "304-768-0321",
"fax_number": "833-972-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 STAUNTON AVE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032503",
"telephone_number": "304-768-0321",
"fax_number": "833-972-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "LISA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.