Physician Assistant, Surgical
Mr. JORY GOTHAM PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528437357 · enumerated 2015-09-22 · record updated 2021-12-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4607 MACCORKLE AVE SW STE 401, SOUTH CHARLESTON, WV, 25309-1364 (304) 414-2120 Google Maps Apple Maps OpenStreetMap
- Mailing address 4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV, 25309-1311 (304) 414-4800 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 819 WV
- Physician Assistant, Surgical 363AS0400X · Primary · License 819 WV
In this directory
WV Kanawha County South Charleston Physician Assistant, Surgical
Locations and evidence
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Practice location
SOUTH CHARLESTON, WV, 253091364
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.