Individual provider Active NPI

Sue Ellen Bowes

  • Family Nurse Practitioner
  • Pinehurst, NC
National Provider Identifier
1285170274
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221297 Issued in NC
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

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170602001561 NC Practitioner - Nurse Practitioner 5799052304 Reassigns benefits to 1 organization
I20251020002787 GA Practitioner - Nurse Practitioner 5799052304 Reassigns benefits to 1 organization
I20251028003233 CT Practitioner - Nurse Practitioner 5799052304 Reassigns benefits to 1 organization
I20260603003111 KY Practitioner - Nurse Practitioner 5799052304 Reassigns benefits to 1 organization
I20260615002946 UT Practitioner - Nurse Practitioner 5799052304 Reassigns benefits to 1 organization

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
Sliiip Medical Group P aGroup PAC ID 8426469826, 14 clinicians

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 Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15523CTMDClinical Social Worker
221297NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Nov 27, 2018 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Nov 27, 2018 Accepting new patients
Sliiip Medical Group P a CurrentSince Oct 15, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Atlantic Radiology Associates PA PastSince Jan 26, 2017 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.