NPIMap

Individual provider Active NPI

Stacie K Moore-Bowens, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1225098478
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18798 Issued in SC
Practice address
4540 Trenholm Rd
Columbia, SC 29206-4462
Phone
(803) 790-4700
Fax
(803) 790-6130
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18798 SC Primary

Addresses

Primary practice location

4540 Trenholm Rd
Columbia, SC 29206-4462

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other identifiers 1

IdentifierTypeStateIssuer
187988MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smoorebowens14743@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040708000817 SC Practitioner - Internal Medicine 2961480801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

4540 Trenholm Rd
Columbia, SC 29206-4462
Phone (803) 790-4700

Hospital & facility affiliations

  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Enhabit Home Health Aiken Home health agency, Columbia, SC, CCN 427128
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • NHC Home Care Midlands Home health agency, West Columbia, SC, CCN 427302
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Three Rivers Medical Associates, PA Internal Medicine Past Accepting new patients
Columbia Medical Group Internal Medicine Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

4540 Trenholm Rd
Columbia, SC 29206
Phone (803) 254-3501

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • Direct secure messaging: stacie.moore-bowens.1@29727.direct.athenahealth.com
  • Direct secure messaging: smoorebowens14743@direct.lexmed.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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1225098478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 TRENHOLM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064462",
            "telephone_number": "803-790-4700",
            "fax_number": "803-790-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-BOWENS",
        "first_name": "STACIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187988",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smoorebowens14743@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "4540 Trenholm Rd",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292064462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.