Diane Gwyn Bowen, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

31386 Issued in GA

Practice address

2485 Demere Rd Ste 103a
Saint Simons Island, GA 31522-1621

Phone

(912) 634-1993

Fax

(912) 634-1166

NPI assigned

Jul 26, 2006

Last updated

Jun 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Plastic and Reconstructive Surgery

Education

Medical College of Georgia School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Golden Isles Center for Plastic Surgery Inc

  • Plastic Surgery Physician
  • St Simons Island, GA
  • NPI 1568638864
  Medicare reassignment NPD Authorized official
• Island Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • St Simons Island, GA
  • NPI 1366620114
  NPD (past) Authorized official
• Georgia Dermatology &Skin Cancer Center, PC

  • Dermatology Physician
  • Macon, GA
  • NPI 1447363346
  NPD (past)
• TMC/Higgins General Hospital

  dba Tanner Health System

  • Critical Access Hospital
  • Bremen, GA
  • NPI 1194712083
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1215950431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 DEMERE RD STE 103A",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221621",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 DEMERE RD STE 103A",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221621",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DIANE",
        "middle_name": "GWYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "31386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11340888",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Burroughs, Inc.
• Howard A Berg, DC
• Billy Jacob Blackmon, MD
• Edward Bolt
• Michele Diane Borst, PT
• Nancy Hodges Bowen, FNP-C
• Robert W Bowen, M.D.
• Kevin D Boyer, D.M.D.
• Jacqueline Diane Braga
• Sophia Braswell

• Plastic and Reconstructive Surgery Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.