Organization Active NPI

Powell Health Solutions Corp

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1427277292
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0007263 Issued in FL
Legal business name
POWELL HEALTH SOLUTIONS CORP
Practice address
17100 NE 19TH Ave
#125
North Miami Beach, FL 33162-3102
Phone
(305) 948-4701
Fax
(305) 948-8591
NPI assigned
Apr 24, 2007
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Michelle Cecille Powell, D.ONPI 1750352068
Title
President
Phone
(305) 948-4701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0007263 FL Primary

Addresses

Primary practice location

17100 NE 19TH Ave
#125
North Miami Beach, FL 33162-3102

Mailing address

17100 NE 19TH Ave
North Miami Beach, FL 33162-3102
Phone (305) 948-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041020000706 FL Part B Supplier - Clinic/Group Practice 7618938903 Receives reassigned benefits from 2 practitioners
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

100 NW 170th St
Ste 303
North Miami Beach, FL 33169
Phone (305) 653-0550

16400 NW 2nd Ave
Ste 102
North Miami Beach, FL 33169
Phone (305) 940-6750

17100 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 354-7223

17100 NE 19th Ave
#125
North Miami Beach, FL 33162
Phone (305) 948-4701

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1427277292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623102",
            "telephone_number": "305-948-4701",
            "fax_number": "305-948-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 NE 19TH AVE",
            "address_2": "#125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623102",
            "telephone_number": "305-948-4701",
            "fax_number": "305-948-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL HEALTH SOLUTIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CECILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-948-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.