What is Charles Southerly's NPI number?

Charles Southerly's National Provider Identifier (NPI) is 1275209488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Southerly's specialty?

Charles Southerly is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Charles Southerly located?

Charles Southerly's practice location on file with NPPES is 1165 Pin Oak Rd, Paw Paw, WV 25434-3252.

What is Charles Southerly's phone number?

The practice phone number listed in the NPPES registry for Charles Southerly is (304) 822-0390.

Is Charles Southerly's NPI active?

Yes — Charles Southerly's NPI (1275209488) is active in the NPPES registry as of the last update on 2021-08-18.

IndividualActive

Charles Southerly

NPI 1275209488 · Community Health Worker · Paw Paw, WV

Charles Southerly is a Community Health Worker provider in Paw Paw, WV (NPI 1275209488).

Provider details

NPI number: 1275209488
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1165 Pin Oak Rd

Paw Paw, WV 25434-3252

Phone: (304) 822-0390

Street-level locationGet directions

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Mailing address