Active NPI
Robert N Powell, M.D.
- Specialist
- Elizabeth City, NC
National Provider Identifier
1043284342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16929
- Practice address
- 102B Medical Dr
Elizabeth City, NC 27909-3361 - Phone
- (252) 338-4117
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16929 | NC | Primary |
Addresses
Primary practice location
102B Medical Dr
Elizabeth City, NC 27909-3361
Mailing address
102B Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-4117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16929 | Other | NC | STATE MEDICAL LICENSE |
| 8968835 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16929 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043284342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102B MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102B MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ROBERT",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "16929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "16929",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8968835",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.