Angela H Sullivan-Bowman, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP000772 Issued in GA

Practice address

2403 Battlefield Parkway
Ft. Oglethorpe, GA 30742

Phone

(706) 866-7700

Fax

(423) 476-4487

NPI assigned

Aug 30, 2005

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Renuven Health Partners of Georgia PC

  • Internal Medicine Physician
  • Fort Oglethorpe, GA
  • NPI 1871196519
  Medicare reassignment NPD
• Diagnostic Cardiology Group

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1437148152
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  NPD
• Cardiovascular Group, PC

  dba Chattanooga Heart Institute

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1912906181
  NPD (past)
• David N. Collins, MD PC

  • Gastroenterology Physician
  • Chattanooga, TN
  • NPI 1649347717
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1063405553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 EAST OAKLAND AVENUE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 BATTLEFIELD PARKWAY",
            "city": "FT. OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-866-7700",
            "fax_number": "423-476-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-BOWMAN",
        "first_name": "ANGELA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-01-10",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6046",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.sullivan-bowman.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2355 Chambliss Ave NW, Suite 301",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Stanton, PHARMD
• Jacqueline Renee Stephenson, PTA
• Kaitlyn Stepp
• Shana L Stokes, LPC
• Susan Carol Strickland, RPH
• Richard Lee Taylor, M.ED
• Tennessee Valley Foot and Ankle Center
• Stuart Henshaw Terrell, DMD
• The Children's Doctors PC
• The Vascular Clinic LLC

• Family Nurse Practitioner in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.