Active NPI
Free Clinic of Powhatan
- Internal Medicine Physician
- Powhatan, VA
National Provider Identifier
1619446994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FREE CLINIC OF POWHATAN
- Practice address
- 2320 Skaggs Rd
Powhatan, VA 23139-5713 - Phone
- (804) 598-5637
- Fax
- (804) 598-5636
- NPI assigned
- Nov 16, 2018
- Last updated
- Jul 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Ream
- Title
- Executive Director
- Phone
- (804) 598-5637
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Public Health Dentistry | 1223D0001X | NU | ||
| Dental Hygienist | 124Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Dental Clinic/Center | 261QD0000X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU |
Addresses
Primary practice location
2320 Skaggs Rd
Powhatan, VA 23139-5713
Mailing address
2320 Skaggs Rd
Powhatan, VA 23139-5713
Phone (804) 598-5637
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2137668 | Free Clinic of Powhatan | Certificate of waiver | Oct 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
2320 Skaggs Rd
Powhatan, VA 23139
Phone (804) 598-5637
3908 Old Buckingham Rd
Powhatan, VA 23139
Phone (804) 598-5637
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Powhatan, VA
- NPI 1487646485
-
- Gerontology Nurse Practitioner
- Powhatan, VA
- NPI 1720706575
-
- Nurse Practitioner
- Powhatan, VA
- NPI 1750507372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1619446994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 SKAGGS RD",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231395713",
"telephone_number": "804-598-5637",
"fax_number": "804-598-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 SKAGGS RD",
"city": "POWHATAN",
"state": "VA",
"postal_code": "231395713",
"telephone_number": "804-598-5637",
"fax_number": "804-598-5636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREE CLINIC OF POWHATAN",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-16",
"last_updated": "2025-07-14",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "REAM",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-598-5637",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powhatan, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.