Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Kiel Medlin, PA-C

Individual provider Surgical Physician Assistant · NPI 1538437629

Justin Kiel Medlin, PA-C is a Physician Assistant in South Charleston, West Virginia. Qualified in 2011, 15 years ago. Practices with Ths Physician Partners Inc, a 359-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
15
Licensed in
WV
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

610 Chestnut St
South Charleston, WV 25309-1251
Phone: (304) 766-7515
Fax: (304) 766-7566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 — (304) 414-4800
  • 11924 Winfield Rd, Winfield, WV 25213-7913 — (304) 767-7790

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 577 (WV)

Record details

NPI number1538437629
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ths Physician Partners Inc — 359 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in South Charleston