Individual provider Active NPI

Alicia Carol Harper, PA-C

  • Physician Assistant
  • Elkins, WV
National Provider Identifier
1962419671
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
963 Issued in WV
Practice address
801 Gorman Ave
Elkins, WV 26241-3147
Phone
(304) 636-3300
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 963 WV Primary

Addresses

Primary practice location

801 Gorman Ave
Elkins, WV 26241-3147

Mailing address

812 Gorman Ave Ofc
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 1

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other identifiers 2

IdentifierTypeStateIssuer
001722347OtherWVBC/BS NUMBER
0098351000MedicaidWV

Other names 1

  • Miss Alicia Carol Johns Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000372 WV Practitioner - Physician Assistant 4385727841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Memorial HospitalGroup PAC ID 3072418540, 77 clinicians

Practice addresses (Care Compare)

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Memorial Hospital CurrentSince Dec 7, 2022 Accepting new patients
Davis Memorial Hospital CurrentSince Dec 7, 2022 Accepting new patients

Locations

801 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

812 Gorman Ave
Ofc
Elkins, WV 26241
Phone (304) 636-3300

Interoperability endpoints

  • Direct secure messaging: alicia.harper.1@1404.direct.athenahealth.com
  • Direct secure messaging: alicia.harper.p1@direct.davismedicalcenter.nextgenshare.com

Organizations & group practices 2

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 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1962419671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE OFC",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413147",
            "telephone_number": "304-636-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "ALICIA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "001722347",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098351000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "JOHNS",
            "middle_name": "CAROL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.