OrganizationActive
South Charleston Pediatrics
NPI 1962563593 · Clinical Medical Laboratory · Charleston, WV
South Charleston Pediatrics is a Clinical Medical Laboratory organization in Charleston, WV (NPI 1962563593).
Provider details
- NPI number
- 1962563593
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jamie Ray, Office Manager(304) 766-4469
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4607 Maccorkle Ave Sw
Ste 400
Charleston, WV 25309-1364
Phone: (304) 766-4400
Fax: (304) 766-4417
Street-level locationGet directions
Mailing address
4607 Maccorkle Ave Sw
Charleston, WV 25309-1364
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Charleston Pediatrics's NPI number?
- South Charleston Pediatrics's National Provider Identifier (NPI) is 1962563593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Charleston Pediatrics?
- South Charleston Pediatrics is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is South Charleston Pediatrics located?
- South Charleston Pediatrics's practice location on file with NPPES is 4607 Maccorkle Ave Sw, Charleston, WV 25309-1364.
- What is South Charleston Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for South Charleston Pediatrics is (304) 766-4400.
- Who is the authorized official for South Charleston Pediatrics?
- The authorized official listed on South Charleston Pediatrics's NPPES record is Jamie Ray, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Charleston Pediatrics's NPI active?
- Yes — South Charleston Pediatrics's NPI (1962563593) is active in the NPPES registry as of the last update on 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.