Individual provider Active NPI

Monica J.a. Powell, M.D.

  • Pediatrics Physician
  • Cramerton, NC
National Provider Identifier
1306839857
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005-01559 Issued in NC
Practice address
137 8TH Ave
Cramerton, NC 28032-1401
Phone
(704) 824-1321
Fax
(704) 824-4816
NPI assigned
Aug 30, 2005
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005-01559 NC Primary

Addresses

Primary practice location

137 8TH Ave
Cramerton, NC 28032-1401

Mailing address

137 8TH Ave
Cramerton, NC 28032-1401
Phone (704) 824-1321

Other identifiers 3

IdentifierTypeStateIssuer
042620OtherCTCT STATE MEDICAL LICENSE
5906890MedicaidNC
N01559MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000555 NC Practitioner - Pediatric Medicine 1759439367 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Pediatrics Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Oct 21, 2013 Accepting new patients
Caromont Medical Group Inc CurrentSince Oct 21, 2013 Accepting new patients
Bayen Medical Associates, PA Past Accepting new patients
Cogent Healthcare of North Carolina, PC Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2360/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1306839857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 8TH AVE",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321401",
            "telephone_number": "704-824-1321",
            "fax_number": "704-824-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 8TH AVE",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321401",
            "telephone_number": "704-824-1321",
            "fax_number": "704-824-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MONICA",
        "middle_name": "J.A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2005-01559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE MEDICAL LICENSE",
            "identifier": "042620",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906890",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01559",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cramerton, NC

Sources for this page

Verify at the official NPI Registry.