Individual provider Active NPI

David R Powell, M.D.

  • Family Medicine Physician
  • Fort Stewart, GA
National Provider Identifier
1366863532
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
071157 Issued in GA
Practice address
Winn Army Community Hospital
1061 Harmon Ave
Fort Stewart, GA 31314
Phone
(912) 435-6933
NPI assigned
Dec 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 071157 GA Primary

Addresses

Primary practice location

Winn Army Community Hospital
1061 Harmon Ave
Fort Stewart, GA 31314

Mailing address

Winn Army Community Hospital
1061 Harmon Ave
Fort Stewart, GA 31314
Phone (912) 435-6933

Other identifiers 2

IdentifierTypeStateIssuer
P01387850OtherFLRR MEDICARE
P01414083OtherGARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20141201001829 GA Practitioner - Family Practice 2466671573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2710 Fairburn Rd
Douglasville, GA 30135-2942
Phone (943) 202-8640

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071157GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ga PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Mar 24, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Apr 28, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine Past Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3355 Cascade Rd SW
Atlanta, GA 30311
Phone (404) 616-7979

2056 Donald Lee Hollowell Pkwy NW
Ste 1
Atlanta, GA 30318
Phone (470) 397-5330

3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331
Phone (470) 832-6550

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

5244 Memorial Dr
Ste 1101
Stone Mountain, GA 30083
Phone (404) 905-0100

Interoperability endpoints

  • Direct secure messaging: david.powell.1@29601.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1366863532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WINN ARMY COMMUNITY HOSPITAL",
            "address_2": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINN ARMY COMMUNITY HOSPITAL",
            "address_2": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "071157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01387850",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01414083",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.