Individual provider Active NPI

James Furman Gowen, M.D.

  • Specialist
  • Brunswick, GA
National Provider Identifier
1366484255
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12471 Issued in GA
Practice address
3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone
(912) 466-7250
Fax
(912) 466-7253
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12471 GA Primary

Addresses

Primary practice location

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788

Mailing address

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Other identifiers 1

IdentifierTypeStateIssuer
00293818CMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000495 GA Practitioner - Obstetrics/Gynecology 0143303396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012471GAMDGeneral Practice Dentistry
12471GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Aug 1, 2012 Accepting new patients
Carl W. Dohn, Jr., M.D., P.C. Past Accepting new patients

Locations

2801 Parkwood Dr
Brunswick, GA 31520
Phone (912) 264-9118

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1366484255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "JAMES",
        "middle_name": "FURMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "12471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00293818C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.