NPIMap

Individual provider Active NPI

Cornelia Kurth-Bowen, PA-C

  • Medical Physician Assistant
  • Hickory, NC
National Provider Identifier
1235223090
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
100985 Issued in NC
Practice address
116 3Rd St NW Ste 102
Hickory, NC 28601-6137
Phone
(828) 855-1192
Fax
(828) 358-0832
NPI assigned
Oct 3, 2006
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 100985 NC Primary

Addresses

Primary practice location

116 3Rd St NW Ste 102
Hickory, NC 28601-6137

Mailing address

PO Box 2268
Hickory, NC 28603-2268
Phone (828) 855-1192

Other identifiers 2

IdentifierTypeStateIssuer
790246AMedicaidNC
100985OtherNCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20131227000973 NC Practitioner - Physician Assistant 1658508452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowen Primary and Urgent Care PAGroup PAC ID 6103909098, 12 clinicians

Practice addresses (Care Compare)

116 3Rd St NW
Suite 102
Hickory, NC 28601-6137
Phone (828) 855-1192

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100985NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Urgent Care Current Accepting new patients
Springs Road Consulting LLC PastSince Dec 28, 2022 Accepting new patients

Locations

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

Organizations & group practices 3

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 10

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1235223090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2268",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032268",
            "telephone_number": "828-855-1192",
            "fax_number": "828-471-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD ST NW STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016137",
            "telephone_number": "828-855-1192",
            "fax_number": "828-358-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTH-BOWEN",
        "first_name": "CORNELIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790246A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "100985",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.