POWELLS MEDICAL FACILITY
NPI 1285740142
Medical Genetics, Ph.D. Medical Genetics in Roseboro, NC

Active since August 22, 2006CLIA 34D0877495 · Waiver
201 W CLINTON ST, ROSEBORO, NC 28382(910) 525-4062 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Powells Medical Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWELLS MEDICAL FACILITY (NPI 1285740142) is a healthcare organization registered as a medical genetics, ph.d. medical genetics in Roseboro, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Teresa Powell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285740142
Entity TypeOrganization
Primary Taxonomy170100000X
Legal Business NamePOWELLS MEDICAL FACILITY
Location Address201 W CLINTON STRoseboro, NC 28382
Mailing AddressPo Box 988Roseboro, NC 28382-0988 · (910) 525-4062
Organization SubpartNo
Authorized OfficialTeresa PowellOffice Manager · (910) 525-4062
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 29, 2008
NPI 1285740142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License Licensed in NC · 223962
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
201 W CLINTON ST, Roseboro, NC 28382

Other Identifiers 1

Medicare UPINC81166NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0877495

Powell's Medical Clinic · Roseboro, NC
Active · expires Oct 23, 2026
CLIA Number34D0877495
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorEddie N. Powell
Laboratory Phone(919) 525-4062
Laboratory LocationPowell's Medical Clinic201 West Clinton St, Roseboro, NC 28382
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Other
201 W CLINTON ST
ROSEBORO, NC 28382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Powells Medical Facility's NPI number?

The NPI number for Powells Medical Facility is 1285740142. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Powells Medical Facility located?

Powells Medical Facility is located at 201 W Clinton St, Roseboro, NC 28382. The listed phone number is (910) 525-4062.

What is Powells Medical Facility's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Does Powells Medical Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0877495) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Powells Medical Facility was last updated on April 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.