Carol Ann Bowerman, PA-C
Individual provider Active NPI Physician Assistant · Little Rock, AR
NPI 1346029485 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1346029485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1209 (AR)
- Practice address
- 4301 W Markham St # 584
Little Rock, AR 72205-7101 - Phone
- (501) 686-7541
- Fax
- (501) 320-7068
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231120001842 | AR | Practitioner - Physician Assistant | 3274981956 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1209 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#584
Little Rock, AR 72205
Phone (501) 526-7485
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1209 | AR | Yes |
Addresses
Primary practice location
4301 W Markham St # 584
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other providers in Little Rock, AR
- Angela Bowen
- Christina Jordan Bowen
- Lauren Danielle Bowen
- Melissa Ross Bowen
- Madeleine Bowens
- Annabelle Lee Bowers
- Nathan Bowers
- Crystal Georgette Bowie
- Zachary Calvin Bowles
- Marialison Bowling
All providers in Little Rock, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.