Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Alexander Ryan Epperly, PA-C

Individual provider Physician Assistant · NPI 1285993519

Mr. Alexander Ryan Epperly, PA-C is a Physician Assistant in South Charleston, West Virginia. Qualified in 2012, 14 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
14
Licensed in
WV
In the registry since
2012
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

4815 Kanawha Ave SW
South Charleston, WV 25309-1207
Phone: (304) 768-4567
Fax: (304) 768-2277
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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 590 (WV)

Record details

NPI number1285993519
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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