Individual provider Active NPI

Jean Williams-Bowens, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1386814648
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3812 Issued in SC
Practice address
7901 Farrow Rd
Columbia, SC 29203
Phone
(803) 534-7200
NPI assigned
Mar 3, 2008
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN1012232 DC
Nurse Practitioner 363L00000X R183397 MD
Family Nurse Practitioner 363LF0000X 3812 SC Primary

Addresses

Primary practice location

7901 Farrow Rd
Columbia, SC 29203

Mailing address

7901 Farrow Rd
C/O Dr. Wadman. Department of Mental Health, Forensic H
Columbia, SC 29203
Phone (267) 474-5005

Other identifiers 1

IdentifierTypeStateIssuer
RN1012232OtherDCFNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000216 SC Practitioner - Nurse Practitioner 5890859623 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3812SCMDSpeech-Language Pathologist
RN1012232DCMDNurse Practitioner
R183397MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 12, 2024 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1386814648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 FARROW RD",
            "address_2": "C/O DR. WADMAN. DEPARTMENT OF MENTAL HEALTH, FORENSIC H",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "267-474-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-534-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BOWENS",
        "first_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1012232",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R183397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "RN1012232",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.