Justin Havens

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4157 Issued in WV

Practice address

1717 Harper Rd FL 2
Beckley, WV 25801-3373

Phone

(681) 207-7563

NPI assigned

Apr 14, 2018

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

General Surgery

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.havens.1@20211.direct.athenahealth.com

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.

• Raleigh General Hospital LLC

  dba Advanced Urology

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746

  Surgery

  Medicare reassignment Care Compare group NPD
• Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1285681023
  NPD (past)
• Raleigh General Hospital LLC

  • Hospitalist Physician
  • Beckley, WV
  • NPI 1417457250
  NPD (past)

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

• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1891282927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HARPER RD FL 2",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013373",
            "telephone_number": "681-207-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10099 Ridgegate Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245532",
            "country_code": "US",
            "telephone_number": "720-874-2406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-774-2581",
            "fax_number": "434-774-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Waterside Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-957-6287",
            "fax_number": "804-827-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102210356",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Hatfield, MSW, LSW
• Mariesa Hatfield
• Mika L Hatfield
• Savanna Hatfield
• Lisa Haumann
• Whitney Hawk, PRSS
• Ashley Elizabeth Hawkins, MSW, LGSW
• Candance Hawkins, MSW
• Rondal Lamont Hawkins
• Sarah Ashley Hayek, MD

• Surgery Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.

Verify at the official NPI Registry.