Active NPI
Charles Powers, PA
- Physician Assistant
- Durant, OK
National Provider Identifier
1114952678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 334
- Practice address
- 1610 W University Blvd
Durant, OK 74701-3045 - Phone
- (580) 924-3400
- Fax
- (580) 924-2000
- NPI assigned
- Jul 12, 2006
- Last updated
- Sep 3, 2020
- 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 | 334 | OK | Primary |
Addresses
Primary practice location
1610 W University Blvd
Durant, OK 74701-3045
Mailing address
PO Box 15268
Asheville, NC 28813-0268
Phone (828) 250-2835
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charlie.powers.2@4696.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1610 W University Blvd
Durant, OK 74701-3096
Phone (580) 924-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall County Hma, LLC | Current | Accepting new patients | |
| Lee Family Clinic Inc | Past | Accepting new patients | |
| Marshall County Hma, LLC | Past | Accepting new patients | |
| Neon Clinic Inc | Past | Accepting new patients | |
| Durant Hma LLC | Past | Accepting new patients | |
| Marshall County Hma LLC | Past | Accepting new patients |
Locations
1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191
Interoperability endpoints
- charles.powers.2@4696.direct.athenahealth.com
- charlie.powers.2@4696.direct.athenahealth.com
Organizations & group practices 7
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
- Durant, OK
- NPI 1356874374
-
dba AllianceHealth Atoka Clinic
- Rural Health Clinic/Center
- Atoka, OK
- NPI 1003670647
-
dba University Medical Group
- Family Medicine Physician
- Durant, OK
- NPI 1073558441
-
dba AllianceHealth Madill Clinic
- Rural Health Clinic/Center
- Madill, OK
- NPI 1992246565
-
dba AllianceHealth Madill
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tishomingo, OK
- NPI 1891116232
-
dba AllianceHealth Madill
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1114952678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15268",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288130268",
"telephone_number": "828-250-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 W UNIVERSITY BLVD",
"city": "DURANT",
"state": "OK",
"postal_code": "747013045",
"telephone_number": "580-924-3400",
"fax_number": "580-924-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "CHARLES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "334",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charlie.powers.2@4696.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1610 W University Blvd",
"city": "Durant",
"state": "OK",
"country_code": "US",
"postal_code": "747013045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.