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MOUNTAINEER FAMILY MEDICINE INC
NPI 1124813415
Family Medicine in Beckley, WV

Active since April 09, 2025CLIA 51D2337212 · Waiver
310 GEORGE ST, BECKLEY, WV 25801(681) 207-3652 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountaineer Family Medicine Inc NPPES

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

MOUNTAINEER FAMILY MEDICINE INC (NPI 1124813415) is a healthcare organization registered as a family medicine in Beckley, West Virginia and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through January 19, 2028, maintains 2 additional practice locations, and lists Victoria Warner, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1124813415
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAINEER FAMILY MEDICINE INC
Location Address310 GEORGE STBeckley, WV 25801-2653
Mailing Address3258 Potomac Highlands TrlDunmore, WV 24934-9727
Phone(681) 207-3652
Organization SubpartNo
Authorized OfficialVictoria WarnerBilling Director · (681) 264-4986
Enumeration DateApril 9, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1124813415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 GEORGE ST, Beckley, WV 25801
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Secondary Practice Locations 2

Location 1511 Blue Prince RdBluefield, WV 24701-9808 · Phone (681) 207-3652
Location 21141 COOK PARKWAYOCEANA, WV 24870 · Phone (304) 682-3109

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

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 51D2337212

Mountaineer Family Medicine · Bluefield, WV
Active · expires Jan 19, 2028
CLIA Number51D2337212
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorDr. Mohamad S. Kalou
Laboratory Phone(681) 251-8299
Laboratory LocationMountaineer Family Medicine261 Mercer Mall Rd Unit 500, Bluefield, WV 24701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MOUNTAINEER WELLNESS AND RECOVERY CENTERS LLC
Clinic/Center (Medical Specialty)
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (304) 552-2261
LESLIE DIONNE GROSS
Counselor (Mental Health)
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 238-3344
DAWN R SMITH BSW
Counselor (Mental Health)
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 207-3652
ALLEGHANY MEDICAL SERVICES, P.C.
Clinic/Center (Pain)
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (304) 254-9022
MELISSA ADKINS BS
Counselor (Addiction (Substance Use Disorder))
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 207-3652
TAMARA RICHARDS HILL
Social Worker
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (304) 573-9416
MS. MICHELE DAWN REXROAD RD,LD
Dietitian, Registered
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (304) 254-9022
MICHAEL D. JOHNSON MSW, LSW
Counselor (Addiction (Substance Use Disorder))
310 GEORGE ST
BECKLEY, WV 25801
Raleigh County (681) 207-3652

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 Mountaineer Family Medicine Inc's NPI number?

The NPI number for Mountaineer Family Medicine Inc is 1124813415. It was assigned to this organization in the NPPES registry on April 9, 2025.

Where is Mountaineer Family Medicine Inc located?

Mountaineer Family Medicine Inc is located at 310 George St, Beckley, WV 25801. The listed phone number is (681) 207-3652.

What is Mountaineer Family Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mountaineer Family Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2337212) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountaineer Family Medicine Inc was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.