Nancy A Powell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101044021 Issued in VA

Practice address

1719 Cambridge Dr.
Suite 203
Richmond, VA 23238

Phone

(804) 658-0435

Fax

(804) 562-8584

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• River'S Way Healthcare of Virginia PLLC

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1710282827
  NPD (past) Authorized official
• Primary Health Group Inc

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578504452
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1386639714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 CAMBRIDGE DR.",
            "address_2": "SUITE 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-658-0435",
            "fax_number": "804-562-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CAMBRIDGE DR.",
            "address_2": "SUITE 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-658-0435",
            "fax_number": "804-562-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101044021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080134480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010136725",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5638798",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Daccarett Powell, LICSW /LCSW
• David Thomas Powell III, O.D
• Karlos Powell
• Kimberly Jo Powell, OTR/L
• Kristen F Powell, MD
• Patrice Rena Powell, LPC, LSATP, MAC
• Priscilla Wyatt Powell, PHD
• Raleigh C. Powell, M.D.
• Robert G Powell, M.D.
• Tamica Powell

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.