NPIMap

Individual provider Active NPI

Claudia Bowman

  • Family Nurse Practitioner
  • Forest, MS
National Provider Identifier
1174892822
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R855499 Issued in MS
Practice address
1123 Highway 35 S
Forest, MS 39074-8829
Phone
(601) 469-4771
Fax
(601) 469-4724
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 R855499 MS Primary

Addresses

Primary practice location

1123 Highway 35 S
Forest, MS 39074-8829

Mailing address

PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-6440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000964 MS Practitioner - Nurse Practitioner 3476712712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1488 Hwy 487
Sebastopal Clinic
Sebastopol, MS 39359-0150
Phone (601) 625-7403

PO Box
Suite 142
Sebastopol, MS 39359

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R855499MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mississippi Health Care, Inc. CurrentSince Mar 31, 2015 Accepting new patients
East Central Mississippi Health Care, Inc Current Accepting new patients
East Central Mississippi Health Care Inc CurrentSince Mar 31, 2015 Accepting new patients
Independent Healthcare Management, Inc. PastSince Aug 15, 2021 Accepting new patients
Independent Healthcare Management, Inc. Past Accepting new patients

Locations

9431 Eastside Drive Ext
Ste E
Newton, MS 39345
Phone (601) 635-3435

10330 Road 375
Philadelphia, MS 39350
Phone (601) 656-0226

199 Rimmer St
Walnut Grove, MS 39189
Phone (601) 253-2733

Interoperability endpoints

  • Direct secure messaging: claudia.bowman.1@17349.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 5

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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1174892822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111100",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390748829",
            "telephone_number": "601-469-4771",
            "fax_number": "601-469-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CLAUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R855499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

Verify at the official NPI Registry.