Active NPI
Geoffrey I. Powell, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1073713046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02787
- Practice address
- 2200 W 35TH St
Austin, TX 78703-1222 - Phone
- (512) 782-5001
- Fax
- (512) 782-1949
- NPI assigned
- Jul 18, 2007
- Last updated
- Mar 18, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02787 | TX | Primary |
Addresses
Primary practice location
2200 W 35TH St
Austin, TX 78703-1222
Mailing address
2200 W 35TH St
Austin, TX 78703-1222
Phone (512) 782-5001
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center of Bastrop PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bastrop, TX
- NPI 1417246281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1073713046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W 35TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031222",
"telephone_number": "512-782-5001",
"fax_number": "512-782-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W 35TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031222",
"telephone_number": "512-782-5001",
"fax_number": "512-782-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "GEOFFREY",
"middle_name": "I.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.