Individual provider Active NPI

Melissa A Powell, M.D.

  • Surgical Critical Care Physician
  • Johnson City, TN
National Provider Identifier
1053407809
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
0101236366 Issued in VA
Practice address
410 N State of Franklin Rd
Suite 130
Johnson City, TN 37604-6971
Phone
(423) 431-2477
Fax
(423) 431-2478
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16746 WV
Surgery Physician 208600000X 31797 TN
Surgical Critical Care Physician 2086S0102X 31797 TN
Surgical Critical Care Physician 2086S0102X 0101236366 VA Primary

Addresses

Primary practice location

410 N State of Franklin Rd
Suite 130
Johnson City, TN 37604-6971

Mailing address

410 N State of Franklin Rd
Suite 130
Johnson City, TN 37604-6971
Phone (423) 431-2477

Other identifiers 5

IdentifierTypeStateIssuer
1053407809MedicaidVA
1053407809MedicaidNC
3004661000MedicaidWV
P00358617OtherWVRAILROAD MEDICARE
Q002848MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, TN, MD, GA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20031215000764 WV Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6002713450 Reassigns benefits to 1 organization
I20040721001491 VA Practitioner - General Surgery 6002713450 Reassigns benefits to 1 organization
I20140319000568 TN Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6002713450 Reassigns benefits to 3 organizations
I20171211000733 MD Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6002713450 Reassigns benefits to 1 organization
I20210525000803 GA Practitioner - Critical Care (Intensivists) 6002713450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

1220 Lee St E
Charleston, WV 25301-1863
Phone (304) 388-7270

1900 Electric Rd
Salem, VA 24153-7474
Phone (561) 997-0821

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Sovah Health Danville Hospital, Danville, VA, CCN 490075
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16746WVMDSurgery Physician
31797TNMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Georgia PC CurrentSince Mar 1, 2021 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 29, 2023 Accepting new patients
Erlanger Health Surgery CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2019 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jan 1, 2023 Accepting new patients
Intensive Care Consortium Inc CurrentSince Feb 1, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Nov 29, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Surgery CurrentSince Jan 1, 2019 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Oct 1, 2021 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Oct 15, 2017 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
University General Surgeons, P. C. Past Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

150 Eagle Spring Ct
Ste A
Stockbridge, GA 30281
Phone (404) 299-3338

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

110 S Paca St
#38
Baltimore, MD 21201

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

979 E 3rd St
Ste C735
Chattanooga, TN 37403
Phone (423) 778-9101

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1220 Lee St E
Ste 208
Charleston, WV 25301
Phone (304) 388-7270

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

Interoperability endpoints

  • Direct secure messaging: mpowell721695@direct.vumc.org
  • Direct secure messaging: melissa.powell@hca6.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1053407809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 130",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046971",
            "telephone_number": "423-431-2477",
            "fax_number": "423-431-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 130",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046971",
            "telephone_number": "423-431-2477",
            "fax_number": "423-431-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "16746",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "31797",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TN",
            "license": "31797",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101236366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053407809",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053407809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004661000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00358617",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002848",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.