SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MADISON MEDICAL
NPI 1720586472
Clinic/Center - Federally Qualified Health Center (FQHC) in Madison, WV
About Southern West Virginia Health System-madison Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN WEST VIRGINIA HEALTH SYSTEM-MADISON MEDICAL (NPI 1720586472) is a healthcare organization registered as a federally qualified health center (fqhc) in Madison, West Virginia and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through April 11, 2028 and lists Letitia Ann Weaver, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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)
Southern West Virginia Health System-madison Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Southern West Virginia Health System-Madison Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 for Provider-Performed Microscopy Procedures (PPMP) 51D0233899
Southern West Virginia Health System-Madison · Madison, WVFrequently 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 Lincoln County Primary Care Center Inc's NPI number?
The NPI number for Lincoln County Primary Care Center Inc is 1720586472. It was assigned to this organization in the NPPES registry on January 29, 2018. The provider is doing business as Southern West Virginia Health System-Madison Medical.
Where is Lincoln County Primary Care Center Inc located?
Lincoln County Primary Care Center Inc is located at 471 Main St, Madison, WV 25130. The listed phone number is (304) 369-5170.
What is Lincoln County Primary Care Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Lincoln County Primary Care Center Inc enrolled in Medicare?
Yes. Lincoln County Primary Care Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lincoln County Primary Care Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to Lincoln County Primary Care Center Inc. 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. The largest specialties are Nurse Practitioner (12), Family Practice (9) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lincoln County Primary Care Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0233899) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lincoln County Primary Care Center Inc accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Lincoln County Primary Care Center Inc 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 Lincoln County Primary Care Center Inc was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern West Virginia Health System-Madison Medical · NPI 1720586472
Federally Qualified Health Center (FQHC) organization in Madison, West Virginia. Organization record, active in the CMS NPPES registry since January 29, 2018.
## Identity
- **NPI:** 1720586472 (Entity type: Organization)
- **Enumerated:** January 29, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Lincoln County Primary Care Center Inc
- **Organization subpart:** Yes (part of Lincoln County Primary Care Center Inc)
- **Authorized official:** Letitia Weaver, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 471 MAIN ST, Madison, WV 25130-1223
- **Phone:** (304) 369-5170 · **Fax:** (304) 306-7982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (9), Internal Medicine (1); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1720586472/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2023
- **Other identifiers:** Medicaid 1720586472 (WV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720586472) · Data from the CMS NPPES public registry.