Waylon Matthew Kincaid, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

747 Issued in WV

Practice address

37456 Coal River Road
Whitesville, WV 25209-0187

Phone

(304) 854-1321

Fax

(304) 854-1031

NPI assigned

Oct 17, 2006

Last updated

Jun 27, 2023By 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 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: waylon.kincaid.1@6401.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.

• Lincoln County Primary Care Center Inc

  dba Southern West Virginia Health System-Whitesville

  • Federally Qualified Health Center (FQHC)
  • Whitesville, WV
  • NPI 1528768322
  Medicare reassignment NPD
• Lincoln County Primary Care Center Inc

  dba Southern West Virginia Health System-Madison Medical

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1720586472
  Medicare reassignment NPD
• Lincoln County Primary Care Center Inc

  dba Southern West Virginia Health System-Wharton

  • Federally Qualified Health Center (FQHC)
  • Wharton, WV
  • NPI 1821790692
  Medicare reassignment NPD
• Lincoln County Primary Care Center Inc

  dba Southern West Virginia Health System-Oceana

  • Federally Qualified Health Center (FQHC)
  • Oceana, WV
  • NPI 1912609785
  Medicare reassignment NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hamlin, WV
  • NPI 1942274543
  Medicare reassignment NPD
• Lincoln County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Man, WV
  • NPI 1689997678
  NPD
• Madison Medical, PLLC

  • Primary Care Clinic/Center
  • Madison, WV
  • NPI 1629035449
  NPD
• New Century Emergency Physician of West Virginia Inc

  • Emergency Medicine Physician
  • Charleston, WV
  • NPI 1396722641

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1982785986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37456 COAL RIVER RD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "252090187",
            "telephone_number": "304-854-1321",
            "fax_number": "304-854-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37456 COAL RIVER ROAD",
            "city": "WHITESVILLE",
            "state": "WV",
            "postal_code": "252090187",
            "telephone_number": "304-854-1321",
            "fax_number": "304-854-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "WAYLON",
        "middle_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Gillispie
• Lorraine Charlett Hanshaw
• Paige Lillian Hodge
• Hygeia Facilities Foundation Inc (Raleigh Boone Medical Center)
• Kennedy Dental Office
• Lincoln County Primary Care Center Inc (Southern West Virginia Health System-Whitesville)
• Lincoln County Primary Care Center, Inc. (Whitesville Medical Pharmacy)
• Justin Lutsy Lutsy, PHARM. D
• Mountaineer Drug Inc.
• Johnathan Murphy, PHARMD

• Physician Assistant in Whitesville, WV
• Providers in Whitesville, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.