VA · Healthcare shortage profile
James City County, VA
Peak severity leads this reading: James City County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. Population 78,254.
- Active HPSAs
- 4
- Population
- 78,254
- Peak shortage score
- 18.0
- MUA Index
- -
Mid-burden verdict
According to current HRSA Data Warehouse records, James City County holds a moderate federal shortage burden - 4 active HPSA designations, more than 44% of the 3,289 real US counties, with mental health the deepest gap.
- 4
- Active HPSA designations
- 2
- Mental-health shortages
- 18
- Peak severity score (of 26)
- Top 56%
- US counties by volume
Few Census ZCTAs touch James City County
The Census ZCTA-county crosswalk lists only 5 ZIP Code Tabulation Areas intersecting James City County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for James City County, VA on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
-
Peak HPSA score 18.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
-
Closing James City County's active designations would take about 1.4 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.4 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
-
50% of James City County's 4 active designations are mental health.
Discipline mix from designated HPSA records only: 1 primary care, 2 mental health, 1 dental (denominator 4).
James City County vs. every real US county
Total active HPSA designations, including counties with none
4 Top 56% higher than 44% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. James City County falls in the upper half of VA counties by active-designation volume, at rank 52 of 133. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 51095. Population: 78,254.
Single high-priority discipline
James City County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 2 active mental health designations to James City County , with a peak score of 18.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the mental health records.
Active HPSA scores
Current designated records only. No Medically Underserved Area designation covers James City County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 4 active (designated) HPSAs in James City County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Colonial Mhca 8 | mental_health | 18.0 |
| Olde Towne Medical Center | mental_health | 16.0 |
| Olde Towne Medical Center | dental | 15.0 |
| Olde Towne Medical Center | primary_care | 9.0 |
Moderate-burden reading for James City County
Peak severity leads this reading: James City County's highest active HPSA score is 18.0, clearing HRSA's 17-point high-priority line. James City County's severest measured gap is in mental health, scored 18.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 9.0 of 25; Dental care reads 15.0 of 26. No Medically Underserved Area designation covers James City County, so federal support here runs through the HPSA route alone.
James City County sits in the middle of the national designation-volume distribution (above 44% of counties) with 4 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (1/2/1) before assuming every care category is equally short.
James City County falls in the upper half of VA counties by active-designation volume, at rank 52 of 133. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Acting on James City County's high-priority mental health
James City County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- James City County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of VA before drawing conclusions from a single score. VA overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Nearby mental-health score peers
Closest U.S. counties on active mental-health HPSA score to James City County's 18.0. Open Clackamas County, OR or Weber County, UT next.
Showing 3 of 3081 counties nationally with an active designation this severe.
Counties near James City County's mental score of 18.0
One peer set for this severity-led county: nearest active mental HPSA score to 18.0 (severity lead on this page is “LI - Colonial MHCA 8”).
Clackamas County, OR
18.0 mental score · 421,401 pop.
Weber County, UT
18.0 mental score · 262,223 pop.
Santa Rosa County, FL
18.0 mental score · 188,000 pop.
Washington County, MD
18.0 mental score · 154,705 pop.
Tazewell County, IL
18.0 mental score · 131,343 pop.
Missoula County, MT
18.0 mental score · 117,922 pop.
Frequently Asked Questions
- Which record sets James City County's peak score of 18.0?
- "LI - Colonial MHCA 8" leads the active set (score 18.0; mental health; 7,916 people in the service area; ~1.4 FTE still needed on the record; designated 03/01/2022). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 4 active rows: 1 primary care, 2 mental health, 1 dental.
- Why is James City County not listed as a Medically Underserved Area?
- James City County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- Which other active designations sit under James City County's severity reading?
- After "LI - Colonial MHCA 8", the next active names on this release are "LI - Colonial MHCA 8", "OLDE TOWNE MEDICAL CENTER", "OLDE TOWNE MEDICAL CENTER" and "OLDE TOWNE MEDICAL CENTER". Provider need (id-de-duped) totals ~1.4 FTE across disciplines that still carry a gap.
- Which federal pathways follow James City County's high-severity geography?
- James City County's 4 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "LI - Colonial MHCA 8".
Source: HRSA Data Warehouse. FIPS: 51095. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 51095 (James City County, VA), vintage 2026-08-15. Active designation count 4; peak score 18.0; signature peak score 18.0. This profile is reference material, not professional advice; see methodology.