Shanti Sophia Powers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004265 Issued in VA

Practice address

2168 General Booth Blvd Ste 510
Virginia Beach, VA 23454-5804

Phone

(757) 702-8122

Fax

(757) 702-2184

NPI assigned

Jun 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584
  Medicare reassignment Care Compare group NPD
• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Virginia Beach, VA
  • NPI 1043795941
  NPD
• Southern Surgical Associates PLLC

  • Surgery Physician
  • Virginia Beach, VA
  • NPI 1154368975
  NPD (past)

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

• Sentara Princess Anne Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1528028396
  Care Compare affiliation

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1063852598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 GENERAL BOOTH BLVD STE 510",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545804",
            "telephone_number": "757-702-8122",
            "fax_number": "757-702-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 GENERAL BOOTH BLVD STE 510",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545804",
            "telephone_number": "757-702-8122",
            "fax_number": "757-702-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Lake Wright Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235021871",
            "country_code": "US",
            "telephone_number": "757-466-8683",
            "fax_number": "757-466-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "SHANTI",
        "middle_name": "SOPHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICAL LICENSE",
            "identifier": "0110004265",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Powers, MS, OTR/L
• James Melvin Powers Jr., RPH
• Kendra McGregor Powers, PA-C
• Ralph Mackey Powers Jr., D.D.S.
• Robert Charles Powers, M. ED. LPC
• Tura L Powers, MSW
• Kelly R Powles, DPT, PT, CMTPT
• Ashish Prasad, M.D.
• Devona Prather
• Elizabeth Eleni Pratsis

• Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.

Verify at the official NPI Registry.