Active NPI
Kristen Lee Bowers
- Athletic Trainer
- Nahunta, GA
National Provider Identifier
1306601596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004684
- Practice address
- 10804 US-82
Nahunta, GA 31553 - Phone
- (912) 462-5121
- NPI assigned
- Feb 16, 2024
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004684 | GA | Primary |
Addresses
Primary practice location
10804 US-82
Nahunta, GA 31553
Mailing address
5942 Central Ave
Waycross, GA 31503-1124
Phone (912) 288-2389
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004684 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1306601596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5942 CENTRAL AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315031124",
"telephone_number": "912-288-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10804 US-82",
"city": "NAHUNTA",
"state": "GA",
"postal_code": "31553",
"telephone_number": "912-462-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "KRISTEN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2025-08-06",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "004684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nahunta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.