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BECKLEY PEDIATRIC ASSOCIATES LTD
NPI 1487699542
Pediatrics in Beckley, WV

Active since June 20, 2006
30 MALLARD CT, BECKLEY, WV 25801(304) 255-0800(304) 255-1040 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beckley Pediatric Associates Ltd NPPES

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

BECKLEY PEDIATRIC ASSOCIATES LTD (NPI 1487699542) is a healthcare organization registered as a pediatrics in Beckley, West Virginia and active in the NPI registry since June 2006. The organization lists John H Johnson Iii, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1487699542
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBECKLEY PEDIATRIC ASSOCIATES LTD
Location Address30 MALLARD CTBeckley, WV 25801-3664
Mailing AddressPo Box 460White Sulphur Springs, WV 24986-0460 · (304) 536-5030 · Fax (304) 536-5031
Phone(304) 255-0800
Fax(304) 255-1040
Organization SubpartNo
Authorized OfficialJohn H Johnson IiiOwner/physician · (304) 255-0800
Enumeration DateJune 20, 2006
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1487699542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
30 MALLARD CT, Beckley, WV 25801
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Other Identifiers 2

Medicaid3810004859WV
Medicare PIN9348702WV

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beckley Pediatric Associates Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beckley Pediatric Associates Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Johnson, MD
Pediatric Medicine
NPI 1922003318
30 MALLARD COURT
Beckley, WV 25801
(304) 255-0800
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beckley Pediatric Associates Ltd's NPI number?

The NPI number for Beckley Pediatric Associates Ltd is 1487699542. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Beckley Pediatric Associates Ltd located?

Beckley Pediatric Associates Ltd is located at 30 Mallard Ct, Beckley, WV 25801. The listed phone number is (304) 255-0800.

What is Beckley Pediatric Associates Ltd's specialty?

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

Is Beckley Pediatric Associates Ltd enrolled in Medicare?

Yes. Beckley Pediatric Associates Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beckley Pediatric Associates Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Beckley Pediatric Associates Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beckley Pediatric Associates Ltd accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Beckley Pediatric Associates Ltd 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 Beckley Pediatric Associates Ltd was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.