Active NPI
Jaclyn Lea Adkins, PA
- Physician Assistant
- Rainelle, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00866
- Practice address
- 645 Kanawha Ave
Rainelle, WV 25962-1013 - Phone
- (304) 438-6188
- Fax
- (304) 438-6819
- NPI assigned
- Mar 1, 2007
- Last updated
- Jul 14, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00866 | WV | Primary |
Addresses
Primary practice location
645 Kanawha Ave
Rainelle, WV 25962-1013
Mailing address
HC 30 Box 56
Caldwell, WV 24925
Phone (304) 645-1463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5275 Alexander Rd
Suite a
Dublin, VA 24084-3657
Phone (540) 960-2231
919 S Craig Ave
Suite a
Covington, VA 24426-1954
Phone (540) 960-2231
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 364 | WV | MD | Psychologist |
| 00866 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray E Joiner Jr MD PC | Physician Assistant | Current | Accepting new patients |
| Murray E Joiner Jr MD PC | Current | Accepting new patients | |
| Wvva Health Care Alliance, PC | Past | Accepting new patients | |
| Regional Family Medicine, Inc | Past | Accepting new patients |
Locations
1945 Thomson Dr
Lynchburg, VA 24501
Phone (434) 845-6664
2726 Electric Rd
Ste 203
Roanoke, VA 24018
Phone (540) 772-4448
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alliance Xpress Care
- Urgent Care Clinic/Center
- Covington, VA
- NPI 1124415799
-
- Physical Medicine & Rehabilitation Physician
- Roanoke, VA
- NPI 1326089822
Physician Assistant
-
- Physical Medicine & Rehabilitation Physician
- Roanoke, VA
- NPI 1245644533
-
- Physical Medicine & Rehabilitation Physician
- Lynchburg, VA
- NPI 1932746153
-
- General Practice Physician
- Rupert, WV
- NPI 1942458039
-
- Internal Medicine Physician
- Low Moor, VA
- NPI 1255371993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1750419966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 30 BOX 56",
"city": "CALDWELL",
"state": "WV",
"postal_code": "24925",
"telephone_number": "304-645-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 KANAWHA AVE",
"city": "RAINELLE",
"state": "WV",
"postal_code": "259621013",
"telephone_number": "304-438-6188",
"fax_number": "304-438-6819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "JACLYN",
"middle_name": "LEA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "00866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rainelle, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.