Individual provider

Derek Newsome, PA-C

Medical Physician Assistant Medicare enrolled

Derek Newsome, PA-C is a Medical Physician Assistant in Charleston, WV, registered under NPI 1669780649.

Getting there

The practice address on file is 3200 MACCORKLE AVE SE SUITE B16, Charleston, WV 25304. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3200 MACCORKLE AVE SE SUITE B16, Charleston, WV 25304 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
01510 WV Medical Physician Assistant primary

This provider holds licence 01510 issued in WV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
7618161589
Enrollment ID
I20101104000764

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1669780649 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 23, 2010
Last updatedDec 23, 2015
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 3200 MACCORKLE AVE SE
SUITE B16
Charleston, WV 25304
(304) 388-5848
Fax (304) 388-9654
Mailing address 3200 MACCORKLE SEAVE B16
Charleston, WV 25304
This record was last updated on Dec 23, 2015, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1669780649 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 6 9 7 8 0 6 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 3 9 5 8 0 6 8

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1669780649?
NPI 1669780649 is the National Provider Identifier assigned to Derek Newsome, PA-C in Charleston, WV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Derek Newsome, PA-C?
The phone number on file with NPPES is (304) 388-5848, last updated Dec 23, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Derek Newsome, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1669780649 a valid number?
Yes. 1669780649 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.