Active NPI
Callie Dawn Woods, PA-C
- Physician Assistant
- Summersville, WV
National Provider Identifier
1851671721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01591
- Practice address
- 400 Fairview Heights Rd
Summersville, WV 26651-9308 - Phone
- (304) 872-2891
- Fax
- (304) 872-2080
- NPI assigned
- Aug 24, 2011
- Last updated
- May 23, 2024
- 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 | 01591 | WV | Primary |
Addresses
Primary practice location
400 Fairview Heights Rd
Summersville, WV 26651-9308
Mailing address
400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone (304) 872-2891
Other practice location 1
5870 Webster Rd Ste 101
Summersville, WV 26651-9105
Phone (304) 872-3709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851671721 | Medicaid | WV |
Other names 1
- Callie Dawn Thayer-Hughes
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia Gastroenterology & Endoscopy | Past | Accepting new patients | |
| West Virginia Health Care Cooperative Inc | Past | Accepting new patients | |
| Community Care of West Virginia, Inc. | Past | Accepting new patients | |
| Long Point Emergency Physicians LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
-
dba Community Care of Clay
- Federally Qualified Health Center (FQHC)
- Clay, WV
- NPI 1073562641
-
- Family Medicine Physician
- Summersville, WV
- NPI 1720471717
-
- Gastroenterology Physician
- Elkins, WV
- NPI 1023335213
-
dba Summersville Regional Medical Center
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1851671721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-2891",
"fax_number": "304-872-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-2891",
"fax_number": "304-872-2080"
}
],
"practiceLocations": [
{
"address_1": "5870 Webster Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Summersville",
"state": "WV",
"postal_code": "266519105",
"country_code": "US",
"telephone_number": "304-872-3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "CALLIE",
"middle_name": "DAWN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851671721",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CALLIE",
"last_name": "THAYER-HUGHES",
"middle_name": "DAWN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.