Individual provider Active NPI

Chad Williams

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1790170835
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3122 Issued in WV
Practice address
3100 Maccorkle Ave SE Ste B16
Charleston, WV 25304-1222
Phone
(304) 388-5432
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3122 WV
Internal Medicine Physician 207R00000X 3122 WV Primary
Internal Medicine Physician 207R00000X 0102205558 VA
Hospitalist Physician 208M00000X 3122 WV

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste B16
Charleston, WV 25304-1222

Mailing address

3100 Maccorkle Ave SE Ste B16
Charleston, WV 25304-1222
Phone (304) 388-5432

Other practice location 1

106 Huffard Dr
Bluefield, VA 24605-9209
Phone (276) 322-3427

Other practice location 2

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 327-1100

Other practice location 3

177 Highpoint Ln
Princeton, WV 24739-6454
Phone (304) 323-8906

Other practice location 4

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180618000340 WV Practitioner - Internal MedicinePractitioner - Emergency Medicine 0941555809 Reassigns benefits to 3 organizations
I20190514003303 VA Practitioner - Internal Medicine 0941555809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1155 N 4TH St
Suite 502
Wytheville, VA 24382-1097
Phone (276) 227-0375

306 S Main St
Rural Retreat, VA 24368-3269
Phone (276) 625-8866

590 W Ridge Rd
Wytheville, VA 24382-1067

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3122WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Wythe County Physician Practices LLC Internal Medicine CurrentSince Apr 29, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 4, 2023 Accepting new patients
Bluefield Gastroenterology PLLC Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 4, 2023 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jan 6, 2020 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Apr 29, 2023 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Bluefield HBP Medical Group LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

320 W Main St
Wytheville, VA 24382
Phone (276) 335-2116

590 W Ridge Rd
Ste F
Wytheville, VA 24382
Phone (276) 228-8422

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 223-1334

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

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

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: chad.williams.1@19847.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1790170835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE B16",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041222",
            "telephone_number": "304-388-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE STE B16",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041222",
            "telephone_number": "304-388-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Huffard Dr",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "VA",
            "postal_code": "246059209",
            "country_code": "US",
            "telephone_number": "276-322-3427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247013306",
            "country_code": "US",
            "telephone_number": "304-327-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 Highpoint Ln",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247396454",
            "country_code": "US",
            "telephone_number": "304-323-8906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hoylman Dr",
            "address_purpose": "LOCATION",
            "city": "Gassaway",
            "state": "WV",
            "postal_code": "266249318",
            "country_code": "US",
            "telephone_number": "304-364-5156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3122",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3122",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102205558",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "3122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.