NPIMap

Individual provider Active NPI

Clarence Leslie Powell Jr., M.D.

  • Family Medicine Physician
  • Franklin, VA
National Provider Identifier
1033181938
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101027857 Issued in VA
Practice address
102 Fairview Dr
Suite B
Franklin, VA 23851-1226
Phone
(757) 562-2158
Fax
(757) 562-2134
NPI assigned
Feb 3, 2006
Last updated
May 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101027857 VA Primary

Addresses

Primary practice location

102 Fairview Dr
Suite B
Franklin, VA 23851-1226

Mailing address

102 Fairview Dr
Suite B
Franklin, VA 23851-1226
Phone (757) 562-2158

Other identifiers 2

IdentifierTypeStateIssuer
005666805MedicaidVA
0101027857OtherVASTATE MEIDCAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101027857VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Clinic Corp Family Medicine PastSince Sep 1, 2010 Accepting new patients
Family Practice Associates, Inc. Family Medicine PastSince Jun 25, 2010 Accepting new patients
Franklin Clinic Corp Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1033181938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR",
            "address_2": "SUITE B",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511226",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRVIEW DR",
            "address_2": "SUITE B",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511226",
            "telephone_number": "757-562-2158",
            "fax_number": "757-562-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CLARENCE",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101027857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005666805",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEIDCAL LICENSE",
            "identifier": "0101027857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.