IndividualActive
James Lackey, PA-C
NPI 1497080717 · Medical Physician Assistant · Nutter Fort, WV
Provider details
- NPI number
- 1497080717
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- TEMP (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% 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
200 Route 98 W St
Suite 103
Nutter Fort, WV 26301-4385
Phone: (304) 623-6330
Fax: (304) 623-1333
Approximate (ZIP-level) locationGet directions
Mailing address
200 Route 98 W St
Nutter Fort, WV 26301-4385
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2009-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.