Active NPI
Robert Powell, CNP
- Family Nurse Practitioner
- South Hill, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166051
- Practice address
- 514 W Atlantic St
South Hill, VA 23970-1906 - Phone
- (434) 447-6969
- Fax
- (434) 447-2240
- NPI assigned
- Jul 12, 2005
- Last updated
- Mar 25, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024166051 | VA | Primary |
Addresses
Primary practice location
514 W Atlantic St
South Hill, VA 23970-1906
Mailing address
514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 447-6969
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010252393 | Other | VA | VA PREMIER KENB |
| 010252423 | Medicaid | VA | |
| 21524 | Other | VA | CARENET SH |
| 224189800 | Other | DOL | |
| 60109 | Other | VA | CARENET CC |
| 010125685 | Other | VA | VA PREMIER SOUTH HILL |
| 010252393 | Medicaid | VA | |
| 21989 | Other | VA | CARENET KB |
| 010125685 | Medicaid | VA | |
| P00215680 | Other | VA | SH RR MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 584-2025
518 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 584-2025
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Medical Associates of Central Virginia, Inc. | Past | Accepting new patients |
Locations
306 E 6th Ave
Kenbridge, VA 23944
Phone (434) 676-8021
8644 Sudley Rd
#220
Manassas, VA 20110
514 W Atlantic St
South Hill, VA 23970
Phone (434) 447-6969
518 W Atlantic St
South Hill, VA 23970
Phone (434) 447-4736
Interoperability endpoints
- robert.powell.1@8042.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Lynchburg, VA
- NPI 1912970260
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Petersburg
- Home Health Agency
- Petersburg, VA
- NPI 1225157514
-
dba Amedisys Home Health of Goochland
- Home Health Agency
- Goochland, VA
- NPI 1306964168
-
dba Amedisys Home Health
- Home Health Agency
- Crewe, VA
- NPI 1609994573
-
dba Amedisys Home Health
- Home Health Agency
- Midlothian, VA
- NPI 1669420337
-
dba Amedisys Home Health
- Home Health Agency
- Mechanicsville, VA
- NPI 1053409250
-
dba Amedisys Home Health of Charlottesville
- Home Health Agency
- Charlottesville, VA
- NPI 1558489948
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1104824382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 W ATLANTIC ST",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239701906",
"telephone_number": "434-447-6969",
"fax_number": "434-447-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W ATLANTIC ST",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239701906",
"telephone_number": "434-447-6969",
"fax_number": "434-447-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ROBERT",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024166051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER KENB",
"identifier": "010252393",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010252423",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET SH",
"identifier": "21524",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "224189800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET CC",
"identifier": "60109",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER SOUTH HILL",
"identifier": "010125685",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010252393",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET KB",
"identifier": "21989",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010125685",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SH RR MEDICARE",
"identifier": "P00215680",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.