Active NPI
Melissa A Powell, M.D.
- Surgical Critical Care Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 0101236366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053407809 | Medicaid | VA | |
| 1053407809 | Medicaid | NC | |
| 3004661000 | Medicaid | WV | |
| P00358617 | Other | WV | RAILROAD MEDICARE |
| Q002848 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA, TN, MD, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Kentucky College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Charleston Area Medical Center
- Lewisgale Hospital Montgomery
- Sovah Health Danville
- Lewisgale Hospital Pulaski
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16746 | WV | MD | Surgery Physician |
| 31797 | TN | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Intensivists of Georgia PC | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Erlanger Health | Surgery | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Intensive Care Consortium Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Surgery | Current | Accepting new patients |
| West Tennessee Healthcare Hospitalists Inc | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | 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
- mpowell721695@direct.vumc.org
- 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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Surgery
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1376159590
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Trauma Surgery Physician
- Knoxville, TN
- NPI 1942243167
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1427904002
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1508712118
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1689520264
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
-
- Hospitalist Physician
- Ronceverte, WV
- NPI 1972125995
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1174479513
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.