Erin Katherine Powell Ennis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

141387 Issued in NC

Practice address

801 Poole Dr
Garner, NC 27529-5207

Phone

(919) 779-1440

Fax

(919) 662-0613

NPI assigned

Jun 28, 2007

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Erin Katherine Powell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unc Physicians Network Group Practices LLCGroup PAC ID 7810142833, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unc Physicians Network Group Practices, LLC

  dba Boylan Healthcare

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1275872905
  Medicare reassignment Care Compare group NPD
• Unc Physicians Network Group Practices, LLC

  dba Boylan Healthcare

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1023357761
  NPD
• Unc Physicians Network Group Practices, LLC

  dba Carolina Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
  • NPI 1053973354
  NPD
• Garner Family Practice PA

  • Family Medicine Physician
  • Garner, NC
  • NPI 1700841103
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1669679114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY",
            "address_2": "STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POOLE DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295207",
            "telephone_number": "919-779-1440",
            "fax_number": "919-662-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "ERIN",
        "middle_name": "KATHERINE POWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "141387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RTL",
            "identifier": "141387",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915370",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eennis10972@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "801 Poole Dr",
            "city": "Garner",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275295207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "POWELL",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Kauff, Lpa (Cleveland Psychological Services)
• Empower Chiropractic and Wellness
• Nicole Braswell Emswiler, PHARMD
• Enhanced Communications PLLC
• Enliven Counseling and Consulting
• Envisionary I-Care (Home Care Solutions)
• Laquanda Epps, BEHAVIOR TECHNICIAN
• Allison Patricia Ernest, M.S., LMFT
• Melissa Ernst, NP-C
• Ekemini Amos Etukudoh

• Family Medicine Physician in Garner, NC
• Providers in Garner, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
• 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.

Verify at the official NPI Registry.