Individual provider Active NPI

Donna Lee Bowers, FNP-C

  • Family Nurse Practitioner
  • Hazlehurst, GA
National Provider Identifier
1093426439
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN230110 Issued in GA
Practice address
162 E Jarman St
Hazlehurst, GA 31539-6173
Phone
(912) 209-0239
Fax
(912) 209-5092
NPI assigned
Dec 7, 2022
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN230110 GA Primary

Addresses

Primary practice location

162 E Jarman St
Hazlehurst, GA 31539-6173

Mailing address

162 E Jarman St
Hazlehurst, GA 31539-6173
Phone (912) 209-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20230314002004 GA Practitioner - Nurse Practitioner 0143694141 Reassigns benefits to 4 organizations
I20240627001228 FL Practitioner - Nurse Practitioner 0143694141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN230110GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
McKinney Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 15, 2023 Accepting new patients
Trimed Advance Health, LLC CurrentSince Feb 15, 2023 Accepting new patients
First Coast Infectious Disease Consultants LLC CurrentSince Jun 19, 2024 Accepting new patients
Georgia Infectious Disease Consultants CurrentSince May 1, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Apr 15, 2023 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

2035 Professional Center Dr
Orange Park, FL 32073
Phone (904) 272-0384

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

501 N Pierce St
Alma, GA 31510
Phone (912) 632-0872

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

162 E Jarman St
Hazlehurst, GA 31539
Phone (912) 209-0239

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

2015 Alice St
Waycross, GA 31501
Phone (912) 283-2120

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

300 Uvalda St
Waycross, GA 31501
Phone (912) 287-0360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18622/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1093426439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 E JARMAN ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396173",
            "telephone_number": "912-209-0239",
            "fax_number": "912-209-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E JARMAN ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396173",
            "telephone_number": "912-209-0239",
            "fax_number": "912-209-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "DONNA",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.