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GREENE SKIN AND WELLNESS
NPI 1225817802
Physician Assistant in Chapmanville, WV

Active since September 25, 2023CLIA 51D2290324 · Waiver
40 SHAE AVE STE A, CHAPMANVILLE, WV 25508(304) 310-2261(304) 310-2262 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greene Skin And Wellness NPPES

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

GREENE SKIN AND WELLNESS (NPI 1225817802) is a healthcare organization registered as a physician assistant in Chapmanville, West Virginia and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Wendy White, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1225817802
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameGREENE SKIN AND WELLNESS
Location Address40 SHAE AVE STE AChapmanville, WV 25508-9805
Mailing AddressPo Box 445Davin, WV 25617-0445 · (304) 310-2261 · Fax (304) 310-2262
Phone(304) 310-2261
Fax(304) 310-2262
Organization SubpartNo
Authorized OfficialWendy WhiteCredentialing Specialist · (304) 688-7027
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1225817802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
40 SHAE AVE STE A, Chapmanville, WV 25508
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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 51D2290324

Greene Skin And Wellness Inc · Chapmanville, WV
Active · expires Jun 1, 2028
CLIA Number51D2290324
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorCorey E. Greene
Laboratory Phone(304) 310-2261
Laboratory LocationGreene Skin And Wellness Inc40 Shae Ave Suite A, Chapmanville, WV 25508
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

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

COREY EDWARD GREENE PAC
Physician Assistant
40 SHAE AVE STE A
CHAPMANVILLE, WV 25508
Logan County (304) 310-2261

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 Greene Skin And Wellness's NPI number?

The NPI number for Greene Skin And Wellness is 1225817802. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Greene Skin And Wellness located?

Greene Skin And Wellness is located at 40 Shae Ave Ste A, Chapmanville, WV 25508. The listed phone number is (304) 310-2261.

What is Greene Skin And Wellness's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Greene Skin And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2290324) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greene Skin And Wellness accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Greene Skin And Wellness 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 Greene Skin And Wellness was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.