MELISSA N. BACCHUS, MD, PLLC
NPI 1124212527
Pediatrics in South Charleston, WV

Q: What is Melissa N. Bacchus, MD, PLLC's NPI number?

The NPI number for Melissa N. Bacchus, MD, PLLC is 1124212527. It was assigned to this organization in the NPPES registry on August 29, 2007.

Q: What is Melissa N. Bacchus, MD, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 29, 2007

4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204, SOUTH CHARLESTON, WV 25309(304) 767-7930(304) 767-7935 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melissa N. Bacchus, Md, Pllc NPPES

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

MELISSA N. BACCHUS, MD, PLLC (NPI 1124212527) is a healthcare organization registered as a pediatrics in South Charleston, West Virginia and active in the NPI registry since August 2007. The organization lists Melissa N Bacchus, Physician, as its authorized official.

NPPES Registry Identity

NPI1124212527

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMELISSA N. BACCHUS, MD, PLLC

Location Address4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204South Charleston, WV 25309-1364

Mailing Address4607 Maccorkle Ave Sw, Medical Pavilion Suite 204South Charleston, WV 25309-1364 · (304) 767-7930 · Fax (304) 767-7935

Phone(304) 767-7930

Fax(304) 767-7935

Organization SubpartNo

Authorized OfficialMelissa N BacchusPhysician · (304) 767-7930

Enumeration DateAugust 29, 2007

✔ NPI 1124212527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WV · 22766

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4607 MACCORKLE AVE SW, South Charleston, WV 25309

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. KARA MICHELLE WHITE DO

Pediatrics

4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 766-4400

WOMYN, INC.

Specialist

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 768-7770

CYNTHIA COLEMAN

Nurse Practitioner (Family)

4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 414-2800

DR. ANDREA HILL M.D.

Obstetrics & Gynecology

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 768-7228

DR. CLARK EDWIN CHILDERS JR. M.D.

Pediatrics

4607 MACCORKLE AVE SW, MP STE 204
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7930

DR. KIMBERLY BUSH UY M.D.

Obstetrics & Gynecology

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (606) 679-8391

ELIZABETH L. BROWN, MD, PLLC

Internal Medicine

4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7810

MS. SARAH ELIZABETH HICKS MA

Psychologist

4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7825

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 Melissa N. Bacchus, MD, PLLC's NPI number?

The NPI number for Melissa N. Bacchus, MD, PLLC is 1124212527. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Melissa N. Bacchus, MD, PLLC located?

Melissa N. Bacchus, MD, PLLC is located at 4607 Maccorkle Ave SW Medical Pavilion Suite 204, South Charleston, WV 25309. The listed phone number is (304) 767-7930.

What is Melissa N. Bacchus, MD, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Melissa N. Bacchus, MD, PLLC was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.