NPIMap

Individual provider Active NPI

Brandon Lilly

  • Psychiatry Physician
  • Huntington, WV
National Provider Identifier
1992191472
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
82101 Issued in SC
Practice address
1115 20TH St
Suite 205
Huntington, WV 25703-2071
Phone
(304) 691-1500
Fax
(304) 691-1510
NPI assigned
Apr 10, 2015
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 82101 SC Primary

Addresses

Primary practice location

1115 20TH St
Suite 205
Huntington, WV 25703-2071

Mailing address

1115 20TH St
Suite 205
Huntington, WV 25703-2071
Phone (304) 691-1500

Other practice location 1

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRANDON.LILLY@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, SC, MS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161212002041 WV Practitioner - Psychiatry 7810277720 Reassigns benefits to 3 organizations
I20190801001508 SC Practitioner - Psychiatry 7810277720 Reassigns benefits to 2 organizations
I20260114001959 MS Practitioner - Psychiatry 7810277720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

Daniel Island, SC 29492
Phone (304) 254-2425

Rock Hill, SC 29730
Phone (606) 487-7955

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
73.04
Promoting interoperability
99
Improvement activities
40
Cost
76.89

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince Nov 8, 2025 Accepting new patients
Summit BHC West Virginia LLC CurrentSince Jul 1, 2020 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Sep 1, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 1, 2023 Accepting new patients
Summit BHC West Virginia, LLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Turnwell Mental Health of South Carolina, PC Psychiatry CurrentSince Apr 15, 2024 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

600 Seacoast Pkwy
Ste 200
Mt Pleasant, SC 29464
Phone (843) 868-2005

300 56th St SE
Charleston, WV 25304
Phone (304) 926-1600

300 56th St SE
Ste A
Charleston, WV 25304
Phone (304) 926-1600

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1992191472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-691-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-691-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069104",
            "country_code": "US",
            "telephone_number": "843-847-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "82101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRANDON.LILLY@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9330 Medical Plaza Dr",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.