Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Powell

Individual provider Physician Assistant · NPI 1295100717

Charles Powell is a Physician Assistant in Daytona Beach, Florida. Qualified in 2015, 11 years ago. Practices with Advanced Urology Institute LLC, a 149-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

545 Health Blvd
Daytona Beach, FL 32114-1493
Phone: (386) 239-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295100717
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2015
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021
Mailing address12109 County Road 103, Oxford, FL 34484-2951

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advanced Urology Institute Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Daytona Beach