Individual provider Active NPI

Brett Ashley Bowie, M.D.

  • Obstetrics & Gynecology Physician
  • Lagrange, GA
National Provider Identifier
1215026646
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
054552 Issued in GA
Practice address
303 Medical Dr Ste 405
Lagrange, GA 30240-4145
Phone
(706) 242-5099
Fax
(706) 242-5231
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 054552 GA Primary

Addresses

Primary practice location

303 Medical Dr Ste 405
Lagrange, GA 30240-4145

Mailing address

303 Medical Dr Ste 405
Lagrange, GA 30240-4145
Phone (706) 242-5099

Other practice location 1

775 Poplar Rd Ste 120
Newnan, GA 30265
Phone (770) 400-4523

Other identifiers 1

IdentifierTypeStateIssuer
111599922AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000120 GA Practitioner - Obstetrics/Gynecology 7911986617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1510 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 845-3905

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 880-7222

1600 Vernon Rd
Lagrange, GA 30240-4143

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054552GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2022 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Apr 12, 2023 Accepting new patients
Gynecology & Obstetrics Professional Group of West Georgia PC Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
West Georgia Medical Center, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

1600 Vernon Rd
Ste D
Lagrange, GA 30240
Phone (412) 999-3638

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Interoperability endpoints

  • Direct secure messaging: bbowie491260@directwellstar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1215026646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR STE 405",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404145",
            "telephone_number": "706-242-5099",
            "fax_number": "706-242-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL DR STE 405",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404145",
            "telephone_number": "706-242-5099",
            "fax_number": "706-242-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Poplar Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30265",
            "country_code": "US",
            "telephone_number": "770-400-4523",
            "fax_number": "678-423-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "BRETT",
        "middle_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "054552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111599922A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.