Kelly Ferrill Bowman
Individual provider Active NPI Psychiatry Physician · Dahlonega, GA
NPI 1336497601 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1336497601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 91374 (GA)
- Practice address
- 95 Morrison Moore Pkwy W
Dahlonega, GA 30533-1588 - Phone
- (770) 219-9475
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
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 fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718003138 | GA | Practitioner - Psychiatry | 1759614159 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91374 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current |
Accepting new patients |
Locations
95 Morrison Moore Pkwy W
Dahlonega, GA 30533
Phone (706) 864-3323
200 Wisteria Dr
Gainesville, GA 30501
Phone (770) 219-3800
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 91374 | GA | Yes |
Addresses
Primary practice location
95 Morrison Moore Pkwy W
Dahlonega, GA 30533-1588
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other names
- Kelly Michelle Ferrill
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbowman141505@nghs.gadirect.net | Direct |
Other providers in Dahlonega, GA
- Gerald Alan Binkely
- Erin Black
- Christine Blumberg
- Joseph Edwin Bork
- Darlene Yvette Bowling
- Tara Brayboy
- Lauren Bridges
- Abby Ann Brown
- Brenda Jean Brown
- Bruce a Pichler DPM PC
All providers in Dahlonega, GA · Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.