John Jacob Powell, PA C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47473981206 Issued in UT

Practice address

292 South 1470 East
Suite100
St George, UT 84790-7000

Phone

(435) 628-9200

Fax

(435) 674-5763

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: john.powell@swim.eclinicaldirectplus.com

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.

• Southwest Internal Medicine, P. C.

  • Internal Medicine Physician
  • St George, UT
  • NPI 1043204118
  Medicare reassignment

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1972597946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 SOUTH 1470 EAST",
            "address_2": "SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-628-9200",
            "fax_number": "435-674-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 SOUTH 1470 EAST",
            "address_2": "SUITE100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-628-9200",
            "fax_number": "435-674-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOHN",
        "middle_name": "JACOB",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "47473981206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Powell Powell-Wilson, LSUDC
• Abigail Powell
• Andrew B Powell, DPM
• Casey Forrest Powell, DNP, FNP-BC
• Jann Madsen Powell
• Rebecca Powell, LCSW
• Sadie Nichelle Powell, RN
• Syrennalee Powell
• Grace Kathleen Powers
• Morgan Hill Pratt, PA-C

• Internal Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.