OrganizationActive
Charleston Cardiology Group PLLC
NPI 1770558165 · Cardiovascular Disease Physician · Charleston, WV
Provider details
- NPI number
- 1770558165
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Lilly, Chairman Board of Directors(304) 342-1184
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3100 Maccorkle Ave
Suite 709
Charleston, WV 25304-1223
Phone: (304) 342-1184
Fax: (304) 343-8487
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Maccorkle Ave
Charleston, WV 25304-1223
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.