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

Mr. Charles Wesley White

Individual provider Physician Assistant · NPI 1275247124

Mr. Charles Wesley White is a Physician Assistant in Fayetteville, West Virginia. Qualified in 2024, 2 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 6 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

113 Deerfield Ln
Fayetteville, WV 25840-6799
Phone: (304) 890-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432
  • 415 Morris St Ste 309, Charleston, WV 25301-1853 — (304) 388-3290
  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 — (304) 388-5432
  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432
  • 1400 Hospital Dr, Hurricane, WV 25526-9202 — (304) 757-1700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275247124
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2023
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address113 Deerfield Ln, Fayetteville, WV 25840-6799

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fayetteville