Active NPI
Sue Ellen Bowes
- Family Nurse Practitioner
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 221297
- Practice address
- 205 Page Road
Pinehurst, NC 28374-8798 - Phone
- (910) 295-5511
- NPI assigned
- Jan 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221297 | NC | Primary |
Addresses
Primary practice location
205 Page Road
Pinehurst, NC 28374-8798
Mailing address
205 Page Road
Pinehurst, NC 28374-8798
Phone (910) 295-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA, CT, KY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
212 Ga Hwy 49 N
Suite 1900
Byron, GA 31008-4059
Phone (478) 238-3552
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15523 | CT | MD | Clinical Social Worker |
| 221297 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Sliiip Medical Group P a | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients | |
| Atlantic Radiology Associates PA | Past | Accepting new patients |
Locations
1053 Farmington Ave
Ofc 132
Farmington, CT 06032
212 GA Highway 49 N
Ste 1900
Byron, GA 31008
3511 Shannon Rd
Ofc 350
Durham, NC 27707
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555
245 Page Rd
Pinehurst, NC 28374
Organizations & group practices 5
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Byron, GA
- NPI 1942768536
CT, KY, NC, UT
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
- Diagnostic Radiology Physician
- Goldsboro, NC
- NPI 1184656936
-
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1285170274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE ROAD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748798",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PAGE ROAD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748798",
"telephone_number": "910-295-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWES",
"first_name": "SUE ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "221297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.