Powell Specialties Group PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

POWELL SPECIALTIES GROUP PLLC

Practice address

7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679

Phone

(704) 601-4381

Fax

(704) 822-5997

NPI assigned

Jul 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Diane Powell, PA-C

Title

Manager

Phone

(704) 995-7941

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1013146612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377679",
            "telephone_number": "704-601-4381",
            "fax_number": "704-822-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377679",
            "telephone_number": "704-601-4381",
            "fax_number": "704-822-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL SPECIALTIES GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-995-7941",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peidmont Rresidential Services Inc
• Andrew Pernell, DDS
• Phoenix Physical Therapy & Sports Performance
• Nakia Pinkney-Milledge, DC
• Ann Elizabeth Pittoni Condon, MD
• Debra D Powell, PA-C
• Quentin Aaron Powell, LCSW, LCASA
• Publix North Carolina, LP (Publix Pharmacy #1603)
• Joel Dwaine Putnam, PHARMD.
• Moses S Raj, MD

• Dermatology Physician in Denver, NC
• Providers in Denver, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.