Active NPI
Caroline U Bowman, MED CCC SCP
- Speech-Language Pathologist
- Brooklet, GA
National Provider Identifier
1003800947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005237
- Practice address
- 3300 Lang LN
Brooklet, GA 30415-5775 - Phone
- (912) 663-0524
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005237 | GA | Primary |
Addresses
Primary practice location
3300 Lang LN
Brooklet, GA 30415-5775
Mailing address
3300 Lang LN
Brooklet, GA 30415-5775
Phone (912) 663-0524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111220000758 | GA | Practitioner - Qualified Speech Language Pathologist | 3577738681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003800947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 LANG LN",
"city": "BROOKLET",
"state": "GA",
"postal_code": "304155775",
"telephone_number": "912-663-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 LANG LN",
"city": "BROOKLET",
"state": "GA",
"postal_code": "304155775",
"telephone_number": "912-663-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CAROLINE",
"middle_name": "U",
"name_prefix": "Mrs.",
"credential": "MED CCC SCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklet, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.