Individual provider Active NPI

Sky Ramsey Gwinn, M.D

  • Internal Medicine Physician
  • Fort Rucker, AL
National Provider Identifier
1750797494
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26865 Issued in WV
Practice address
Lyster Army Health Clinic, 301 Andrews Avenue
Fort Rucker, AL 36362-5333
Phone
(800) 261-7193
Fax
(334) 255-7710
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 26865 WV
Emergency Medicine Physician 207P00000X 26865 WV
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 26865 WV Primary

Addresses

Primary practice location

Lyster Army Health Clinic, 301 Andrews Avenue
Fort Rucker, AL 36362-5333

Mailing address

3551 Roger Brooke Drive, Bamc
McHe-QD (Creds)
Jbsa-Fort Sam Houston, TX 78234-4504
Phone (210) 916-8176

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
I20210621001833 WV Practitioner - Internal Medicine 4587944715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

100 Heartland Dr
Beckley, WV 25801-2655
Phone (513) 489-7100

183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (513) 489-7100

198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332

456 Autumn Acres Rd
Berkeley Springs, WV 25411-3202
Phone (513) 489-7100

6192 US Route 60
Hurricane, WV 25526-6171
Phone (304) 767-4033

712 Professional Park Dr
Summersville, WV 26651-2000
Phone (304) 872-7600

Hospital & facility affiliations

  • Hospice of Southern West Virginia, Inc Hospice, Beckley, WV, CCN 511506
  • Summers County Arh Hospital Hospital, Hinton, WV, CCN 511310
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
  • Summers Healthcare Center Nursing home, Hinton, WV, CCN 515170
  • Beckley Healthcare Center Nursing home, Beckley, WV, CCN 515086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26865WVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC General Practice CurrentSince Nov 27, 2024 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
Summers Emergency Physicians LLC Emergency Medicine CurrentSince May 21, 2021 Accepting new patients
Heartland Leasing Co., LLC Past Accepting new patients
John Cook Leasing Co., LLC Past Accepting new patients

Locations

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Summers Healthcare CenterHinton, WV, CCN 515170 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 10, 2024
Dec 10, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 5

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1750797494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE, BAMC",
            "address_2": "MCHE-QD (CREDS)",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-8176",
            "fax_number": "210-916-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVENUE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "800-261-7193",
            "fax_number": "334-255-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "SKY",
        "middle_name": "RAMSEY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "26865",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "26865",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "26865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Rucker, AL

Sources for this page

Verify at the official NPI Registry.