Individual provider Active NPI

Jane Everhart Bowman, CRNA

  • Certified Registered Nurse Anesthetist
  • Eden, NC
National Provider Identifier
1295729135
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108212 Issued in NC
Practice address
117 E Kings Hwy
Eden, NC 27288-5201
Phone
(336) 623-9711
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 108212 NC Primary

Addresses

Primary practice location

117 E Kings Hwy
Eden, NC 27288-5201

Mailing address

403 Greenway Dr
Eden, NC 27288-3526
Phone (336) 613-8105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
48773TNMDInternal Medicine Physician
9035TNMDPhysical Therapist
108212NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Center of Greensboro, LLC Current Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Oct 1, 2019 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2019 Accepting new patients
Unc Rockingham Health Care, Inc. CurrentSince Feb 5, 2019 Accepting new patients
Gate City Anesthesia, Inc CurrentSince Mar 19, 2021 Accepting new patients
Unc Rockingham Health Care, Inc. CurrentSince Feb 5, 2019 Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients
Morehead Memorial Hospital Past Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

21A Oak Branch Dr
Greensboro, NC 27407
Phone (336) 478-2664

705 Green Valley Rd
Greensboro, NC 27408
Phone (336) 272-0012

6701 NC Highway 135
Mayodan, NC 27027
Phone (336) 573-9228

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1295729135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GREENWAY DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272883526",
            "telephone_number": "336-613-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "336-623-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JANE",
        "middle_name": "EVERHART",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "108212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.