Individual provider Active NPI

Mary Bowen Owens, PA-C

  • Medical Physician Assistant
  • Winder, GA
National Provider Identifier
1285229609
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10253 Issued in GA
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.

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 18 clinicians

Practice addresses (Care Compare)

1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352

Hospital & facility affiliations

  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Specialists of Piedmont Northeast CurrentSince Sep 1, 2024 Accepting new patients
Pulmonary and Sleep Specialists of Northeast Georgia, PC CurrentSince Jul 1, 2021 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Jun 2, 2021 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)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10253 GA
Medical Physician Assistant 363AM0700X 10253 GA Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.