Active NPI
Stephanie J Powers, MD
- Family Medicine Physician
- Jamestown, NC
National Provider Identifier
1063671188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011-01307
- Practice address
- 1236 Guilford College Rd Ste 117
Suite 216
Jamestown, NC 27282-9875 - Phone
- (336) 856-0801
- Fax
- (336) 856-2804
- NPI assigned
- Jun 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011-01307 | NC | Primary |
Addresses
Primary practice location
1236 Guilford College Rd Ste 117
Suite 216
Jamestown, NC 27282-9875
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 856-0801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918121 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1063671188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "336-856-0801",
"fax_number": "336-856-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 GUILFORD COLLEGE RD STE 117",
"address_2": "SUITE 216",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272829875",
"telephone_number": "336-856-0801",
"fax_number": "336-856-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "STEPHANIE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2011-01307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918121",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NC
- Piedmont Counseling and Development
- Piedmont Therapy and Wellness, PLLC
- Greta Miller Platt, CBC/SLP
- Andrea Nicole Pluskota, M.S, CCC/SLP
- Sheila S Polinsky, LCSW
- Preparing Adults and Children to Excel (Pace) Inc
- Preparing Adults and Children to Excel (Pace) Inc.
- Pressplay Counseling PLLC
- Prosper Healthcare and Consulting PLLC
- James Michael Puckett, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.