Active NPI
Monye Bowdry
- Social Worker
- Pontotoc, MS
National Provider Identifier
1124758826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M7179
- Practice address
- 128 Pauls Dr
Pontotoc, MS 38863-8296 - Phone
- (662) 231-4308
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M7179 | MS | Primary |
Addresses
Primary practice location
128 Pauls Dr
Pontotoc, MS 38863-8296
Mailing address
1114 Commonwealth Blvd
Tupelo, MS 38804-9301
Phone (662) 840-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7179 | MS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1124758826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 COMMONWEALTH BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388049301",
"telephone_number": "662-840-6366",
"fax_number": "662-680-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 PAULS DR",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388638296",
"telephone_number": "662-231-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDRY",
"first_name": "MONYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M7179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontotoc, MS
- Brittany Lashae Bevill, MS CCC-SLP
- John Thomas Black Jr., D.M.D.
- Boa Vida Hospital of Aberdeen, Ms LLC (MRH Medical Group, Acute Care and Family Clinic of Pontotoc)
- Hannah Gaskin Boatright, LCSW
- Brittani Boatwright, PTA
- Breanna Renee Bray, NP
- Amber Claire Brown, NP-C
- Jana Markita Call, FNP-C, PMHNP-BC
- Chase Clinic
- Chase House of Youth Restoration
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.