Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Cornwell, PA

Individual provider Physician Assistant · NPI 1780014233

Amanda Cornwell, PA is a Physician Assistant in Ronceverte, West Virginia. Graduated from Medical University of South Carolina College of Medicine in 2013, 13 years ago. Practices with Dermatology Centers Inc, a 5-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
13
Trained at
Medical University of South Carolina College of Medicine
Licensed in
WV
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3942 Davis Stuart Rd Ste 2
Ronceverte, WV 24970-0269
Phone: (304) 645-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 667 (WV)

Record details

NPI number1780014233
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2013
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address3942 Davis Stuart Rd Ste 2, Ronceverte, WV 24970-0269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Dermatology Centers Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ronceverte