Individual provider Active NPI

Amy M Bowles, PA

  • Physician Assistant
  • Martinsville, VA
National Provider Identifier
1396725040
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002158 Issued in VA
Practice address
287 Commonwealth Blvd W
Martinsville, VA 24112-1820
Phone
(276) 632-2966
Fax
(276) 632-0841
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002158 VA Primary

Addresses

Primary practice location

287 Commonwealth Blvd W
Martinsville, VA 24112-1820

Mailing address

287 Commonwealth Blvd W
Martinsville, VA 24112-1820
Phone (276) 632-2966

Other names 1

  • Amy Branson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20051215000682 VA Practitioner - Physician Assistant 4183645393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002158VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Access to Health Services Inc CurrentSince Feb 12, 2014 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Feb 12, 2014 Accepting new patients
Piedmont Access to Health Services Inc Past Accepting new patients

Locations

705 Main St
Danville, VA 24541
Phone (434) 791-4122

287 Commonwealth Blvd W
Martinsville, VA 24112
Phone (276) 632-2966

312 Fairy Street Ext
Ste 101
Martinsville, VA 24112
Phone (276) 632-2966

315 Hospital Dr
Martinsville, VA 24112
Phone (276) 224-2655

Interoperability endpoints

  • Direct secure messaging: amy.bowles@paths.eclinicaldirectplus.com

Organizations & group practices 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1396725040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 COMMONWEALTH BLVD W",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121820",
            "telephone_number": "276-632-2966",
            "fax_number": "276-632-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 COMMONWEALTH BLVD W",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121820",
            "telephone_number": "276-632-2966",
            "fax_number": "276-632-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRANSON",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.