Jaimee Bowman, MS, ATC, PES

Individual provider Active NPI Athletic Trainer · Spartanburg, SC

NPI 1346640554 · NPPES record last updated Nov 14, 2018

Key facts

NPI
1346640554
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2092 (SC)
Practice address
1000 Powell Mill Rd
Spartanburg, SC 29301-5808
Phone
(864) 587-4376
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2092 SC Yes

Addresses

Primary practice location

1000 Powell Mill Rd
Spartanburg, SC 29301-5808

Mailing address

1000 Powell Mill Rd
Spartanburg, SC 29301-5899
Phone (864) 587-4376

Other practice location 1

RR 1 Box 58
Lost Creek, WV 26385-9707
Phone (304) 326-7440

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Athletic Trainer in South Carolina

Sources for this page

Verify at the official NPI Registry.