Cranford Richard Powell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001530A Issued in IN

Practice address

2555 Kentucky Ave
Indianapolis, IN 46221-5004

Phone

(317) 481-6626

Fax

(317) 481-6629

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cranford.powell@554941067886596.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/8796/brand/1/csg/1/fhir/r4

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.

• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1033548896
  Medicare reassignment
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1568932002
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Lehigh Pulmonary Associates, Inc

  • Pulmonary Disease Physician
  • Fort Myers, FL
  • NPI 1255006375
  NPD (past)
• Lehigh Pulmonary Associates, Inc

  • Specialist
  • Lehigh Acres, FL
  • NPI 1427120484
  NPD (past)
• Medical Professional Agency Inc

  • Adult Medicine Physician
  • Pensacola, FL
  • NPI 1427174762
  NPD (past)
• Southwest Florida Spine Institute PLLC

  • Orthopaedic Surgery Physician
  • Port Charlotte, FL
  • NPI 1700045069
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1356422554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 THICKET CT APT A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472019700",
            "telephone_number": "812-343-5512",
            "fax_number": "317-481-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462215004",
            "telephone_number": "317-481-6626",
            "fax_number": "317-481-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Alpine Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470068477",
            "country_code": "US",
            "telephone_number": "812-932-3224",
            "fax_number": "812-932-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CRANFORD",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA000033-46",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001530A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "10001530A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA",
            "identifier": "PA000033-46",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney M Powe, NP
• Vicki D Powell-Tippit, NP
• Andrew Noland Powell, D.O.
• Ashley R Powell, PSYD
• Charles Randall Powell Jr., M.D.
• Deshai Powell, HAB, FST
• Heather Danielle Powell, LCSW
• Jacquelyn Elaine Powell, LCAC, LMHC
• Jenna Jaclyn Powell, MD
• Katherine Magdalena Powell, DO

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.