Amanda Lauren Bowman- Collins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012489 Issued in MI

Practice address

15350 Trenton Rd
Southgate, MI 48195-2027

Phone

(734) 283-4616

Fax

(734) 283-5430

NPI assigned

May 29, 2024

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Child and Adolescent Center P C

  • Pediatrics Physician
  • Southgate, MI
  • NPI 1952498875
  NPD (past)

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1275373193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45310 BROOKVIEW DR",
            "city": "VAN BUREN TOWNSHIP",
            "state": "MI",
            "postal_code": "481115249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 TRENTON RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952027",
            "telephone_number": "734-283-4616",
            "fax_number": "734-283-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN- COLLINS",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlie Bothuell
• Mia Boulay
• Kaylen Bourdage
• Kate Bourdlais, DPT
• Jamel Cameron Bowers
• Arieanna Bowman
• Jessica Marie Bowman, LLP, CIC-CPP, C-DBT
• Charlene Boyd
• Colin Boyd
• Dawn Elizabeth Boyer-Shoup

• Physician Assistant in Southgate, MI
• Providers in Southgate, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.