Individual provider Active NPI

Laraine Reibson Bowen, PAC

  • Physician Assistant
  • Benson, NC
National Provider Identifier
1154426120
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04602 Issued in NC
Practice address
One Medical Drive
Benson, NC 27504
Phone
(919) 894-1740
Fax
(919) 894-2701
NPI assigned
Sep 14, 2006
Last updated
May 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04602 NC Primary

Addresses

Primary practice location

One Medical Drive
Benson, NC 27504

Mailing address

120 William Penn Plaza
Durham, NC 27704-2150
Phone (919) 220-5255

Other identifiers 1

IdentifierTypeStateIssuer
NCH780EOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000618 NC Practitioner - Physician Assistant 7618012188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Accelerated Care IncGroup PAC ID 8921041138, 47 clinicians

Practice addresses (Care Compare)

1111 Huffman Mill Rd
Burlington, NC 27215-8862
Phone (336) 584-5544

11550 Common Oaks Dr
Suite 100
Raleigh, NC 27614-8093
Phone (919) 220-5255

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-9629

3100 Duraleigh Rd
Suite 100
Raleigh, NC 27612-8105
Phone (919) 788-8797

337 S Madison Blvd
Roxboro, NC 27573-5464

7810 NC Hwy 751
Durham, NC 27713-6850
Phone (919) 544-7270

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Center, P.a. CurrentSince Mar 4, 2014 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Dec 5, 2016 Accepting new patients
Emergeortho PA CurrentSince Dec 5, 2016 Accepting new patients
Carolina Rehabilitation and Surgical Associates, PA PastSince Nov 17, 2025 Accepting new patients
Holston Medical Group PC Physician Assistant PastSince Aug 31, 2009 Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: laraine.bowen.1@847.direct.athenahealth.com

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1154426120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLAZA",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-313-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL DRIVE",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "27504",
            "telephone_number": "919-894-1740",
            "fax_number": "919-894-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LARAINE",
        "middle_name": "REIBSON",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCH780E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.