DEREK S. NEWSOME PA-C
NPI 1669780649
Physician Assistant - Medical in Charleston, WV
About Derek S. Newsome Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK S. NEWSOME PA-C (NPI 1669780649) is an individual medical provider in Charleston, West Virginia, licensed in West Virginia (01510) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek S. Newsome Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Derek Newsome's NPI number?
The NPI number for Derek Newsome is 1669780649. It was assigned to this individual provider in the NPPES registry on September 23, 2010.
Where is Derek Newsome located?
Derek Newsome practices at 3200 Maccorkle Ave SE Suite B16, Charleston, WV 25304. The listed phone number is (304) 388-5848.
What is Derek Newsome's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Derek Newsome enrolled in Medicare?
Yes. Derek Newsome is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Derek Newsome was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Derek S. Newsome, PA-C · NPI 1669780649
Medical physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since September 23, 2010.
## Identity
- **NPI:** 1669780649 (Entity type: Individual)
- **Enumerated:** September 23, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 01510 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, SUITE B16, Charleston, WV 25304-1227
- **Phone:** (304) 388-5848 · **Fax:** (304) 388-9654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1669780649) · Data from the CMS NPPES public registry.