Active NPI
Robert Bowen, PA-C
- Surgical Physician Assistant
- Macon, GA
National Provider Identifier
1356730865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10354
- Practice address
- 3708 Northside Dr
Macon, GA 31210-2404 - Phone
- (478) 745-4206
- Fax
- (478) 254-5463
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10354 | GA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA.1035 | AL |
Addresses
Primary practice location
3708 Northside Dr
Macon, GA 31210-2404
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210614002198 | GA | Practitioner - Physician Assistant | 3173841491 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Macon Orthopaedic and Hand Center, PA
Practice addresses (Care Compare)
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
4600 Bill Gardner Pkwy
Suite B
Locust Grove, GA 30248-2428
Phone (478) 841-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.1035 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon Orthopaedic & Hand Center, PA | Current | Accepting new patients | |
| Macon Orthopaedic & Hand Center, PA | Past | Accepting new patients |
Locations
3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303
Interoperability endpoints
- robert.bowen.1@4291.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Dublin, GA
- NPI 1124568480
-
- Orthopaedic Surgery Physician
- Warner Robins, GA
- NPI 1023425485
-
- Orthopaedic Surgery Physician
- Milledgeville, GA
- NPI 1629447032
-
- Orthopaedic Surgery Physician
- Locust Grove, GA
- NPI 1760363386
-
- Orthopaedic Surgery Physician
- Kathleen, GA
- NPI 1881200251
-
- Community/Retail Pharmacy
- Macon, GA
- NPI 1760618557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1356730865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206",
"fax_number": "478-254-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206",
"fax_number": "478-254-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-21",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "10354",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA.1035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.