Active NPI
Mary Bowen Owens, PA-C
- Medical Physician Assistant
- Winder, GA
On this page
- Key facts
- Organizations & group practices3
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other names1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Winder, GA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10253
- Practice address
- 30 Satellite Dr Ste 200
Winder, GA 30680-6211 - Phone
- (770) 586-0300
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Dacula, GA
- NPI 1922844570
GA
-
- Pulmonary Disease Physician
- Winder, GA
- NPI 1194048561
GA
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Florida State University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulmonary and Sleep Specialists of Piedmont Northeast
Practice addresses (Care Compare)
1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352
Hospital & facility affiliations
- Piedmont Walton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210608001058 | GA | Practitioner - Pulmonary Disease | 1658771936 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary and Sleep Specialists of Piedmont Northeast | Current | Accepting new patients | |
| Pulmonary and Sleep Specialists of Northeast Georgia, PC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients |
Locations
2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10253 | GA | |
| Medical Physician Assistant | 363AM0700X | 10253 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
30 Satellite Dr Ste 200
Winder, GA 30680-6211
Mailing address
2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone (850) 326-7068
Other practice location 1
2075 Hamilton Creek Pkwy Ste 200
Dacula, GA 30019-7285
Phone (850) 326-7068
Other names 1
NPPES NPI Registry- Mary Josephine Bowen
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mowens114939@nghs.gadirect.net | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2021.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1285229609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 HAMILTON CREEK PKWY STE 200",
"city": "DACULA",
"state": "GA",
"postal_code": "300197285",
"telephone_number": "850-326-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SATELLITE DR STE 200",
"city": "WINDER",
"state": "GA",
"postal_code": "306806211",
"telephone_number": "770-586-0300"
}
],
"practiceLocations": [
{
"address_1": "2075 Hamilton Creek Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300197285",
"country_code": "US",
"telephone_number": "850-326-7068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWENS",
"first_name": "MARY",
"middle_name": "BOWEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-07-30",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "10253",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "10253",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mowens114939@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "30 Satellite Dr Ste 200",
"city": "Winder",
"state": "GA",
"country_code": "US",
"postal_code": "306806211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARY",
"last_name": "BOWEN",
"middle_name": "JOSEPHINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.