Individual provider Active NPI

Brent Anthony Clower, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Roswell, GA
National Provider Identifier
1447488564
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
69388 Issued in GA
Practice address
11775 Pointe PL
Suite 103
Roswell, GA 30076-4655
Phone
(404) 500-7378
Fax
(404) 341-9979
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 69388 GA Primary

Addresses

Primary practice location

11775 Pointe PL
Suite 103
Roswell, GA 30076-4655

Mailing address

11775 Pointe PL
Suite 103
Roswell, GA 30076-4655
Phone (404) 500-7378

Other practice location 1

3000 Hospital Blvd Fl 2
Roswell, GA 30076-4915
Phone (770) 751-2830

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bclower148110@directwellstar.org

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
I20130729000964 GA Practitioner - Physical Medicine and Rehabilitation 9335385111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

11775 Pointe PL
Suite 103
Roswell, GA 30076-4652
Phone (770) 619-0010

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Wellstar N Fulton Hospital Inpatient rehabilitation facility, Roswell, GA, CCN 11T198
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Jan 6, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Atlanta Rehabilitation Physicians, P.C. Physical Medicine & Rehabilitation CurrentSince Dec 10, 2014 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

11775 Pointe Pl
Ste 103
Roswell, GA 30076
Phone (770) 619-0010

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

3000 Hospital Blvd
Fl 2
Roswell, GA 30076
Phone (770) 751-2777

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (404) 256-7532

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148d0862-3261-4a44-ba2d-29293ff91161/
  • Direct secure messaging: bclower148110@directwellstar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1447488564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL",
            "address_2": "SUITE 103",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764655",
            "telephone_number": "404-500-7378",
            "fax_number": "404-341-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL",
            "address_2": "SUITE 103",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764655",
            "telephone_number": "404-500-7378",
            "fax_number": "404-341-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Hospital Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764915",
            "country_code": "US",
            "telephone_number": "770-751-2830",
            "fax_number": "770-751-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOWER",
        "first_name": "BRENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "69388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bclower148110@directwellstar.org",
            "affiliation": "N",
            "address_1": "3000 Hospital Blvd Fl 2",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.