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MED SURG PHYSICIAN GROUP, INC.
NPI 1063943678
Specialist in Beckley, WV

Active since March 24, 2017CLIA 51D0678840 · Waiver
1902 HARPER RD STE ABC, BECKLEY, WV 25801(304) 253-3000(304) 929-2038 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2025, Dec 14, 2023, Mar 8, 2023 and 2 more (5 updates tracked since 2017).

About Med Surg Physician Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED SURG PHYSICIAN GROUP, INC. (NPI 1063943678) is a healthcare organization registered as a specialist in Beckley, West Virginia and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Olu R Sangodeyi, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063943678
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMED SURG PHYSICIAN GROUP, INC.
Location Address1902 HARPER RD STE ABCBeckley, WV 25801-2642
Mailing Address104 Florida AveBeckley, WV 25801-2408 · (304) 673-4294 · Fax (304) 255-7884
Phone(304) 253-3000
Fax(304) 929-2038
Organization SubpartNo
Authorized OfficialOlu R SangodeyiOwner, Ceo · (304) 673-4294
Enumeration DateMarch 24, 2017
Last NPPES UpdateJune 28, 20255 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1063943678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WV · 21042
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1902 HARPER RD STE ABC, Beckley, WV 25801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0678840

Med Surg Physician Group Inc · Beckley, WV
Active · expires Oct 22, 2027
CLIA Number51D0678840
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Oluyemisi Sangodeyi
Laboratory Phone(304) 253-3000
Laboratory LocationMed Surg Physician Group Inc1902 Harper Road, Suite Abc, Beckley, WV 25801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE GREEN CFNP
Nurse Practitioner (Family)
1902 HARPER RD STE ABC
BECKLEY, WV 25801
Raleigh County (304) 253-3000
JUSTIN TYLER BAILEY
Counselor
1902 HARPER RD STE ABC
BECKLEY, WV 25801
Raleigh County (304) 253-3000
CHERYL ANN BELCHER APRN-BC
Nurse Practitioner (Family)
1902 HARPER RD STE ABC
BECKLEY, WV 25801
Raleigh County (304) 253-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med Surg Physician Group, Inc.'s NPI number?

The NPI number for Med Surg Physician Group, Inc. is 1063943678. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Med Surg Physician Group, Inc. located?

Med Surg Physician Group, Inc. is located at 1902 Harper Rd Ste Abc, Beckley, WV 25801. The listed phone number is (304) 253-3000.

What is Med Surg Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Med Surg Physician Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0678840) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med Surg Physician Group, Inc. accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Med Surg Physician Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med Surg Physician Group, Inc. was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.