NPIMap

Individual provider Active NPI

Tracy Bowman, PA

  • Medical Physician Assistant
  • Wilson, NC
National Provider Identifier
1043228729
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-06396 Issued in NC
Practice address
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone
(252) 399-8928
Fax
(252) 399-7477
NPI assigned
Aug 4, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-06396 NC Primary
Medical Physician Assistant 363AM0700X 001588 CT

Addresses

Primary practice location

1705 Tarboro St SW
Wilson, NC 27893-3428

Mailing address

PO Box 12156
Newport News, VA 23612-2156
Phone (757) 867-6593

Other identifiers 1

IdentifierTypeStateIssuer
1043228729MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180504000975 NC Practitioner - Physician Assistant 4981657145 Reassigns benefits to 2 organizations
I20200903002074 GA Practitioner - Physician Assistant 4981657145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (843) 479-9033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.49 of 100Reported as group
Quality
89.76
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jul 13, 2020 Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince Dec 1, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients
L&M Physician Association, Inc Past Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Medical Past Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

Interoperability endpoints

  • Direct secure messaging: tbowman2740212@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1043228729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12156",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122156",
            "telephone_number": "757-867-6593",
            "fax_number": "757-867-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933428",
            "telephone_number": "252-399-8928",
            "fax_number": "252-399-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06396",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043228729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.