Individual provider Active NPI

Monica Trechele McGowan, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1477813954
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R149268 Issued in GA
Practice address
2550 Windy Hill Rd SE
Suite 215
Marietta, GA 30067-8665
Phone
(770) 850-9727
NPI assigned
May 18, 2012
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R149268 GA Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE
Suite 215
Marietta, GA 30067-8665

Mailing address

3464 Village Park Lane SW
Atlanta, GA 30331
Phone (404) 374-5849

Other identifiers 7

IdentifierTypeStateIssuer
003128580AMedicaidGA
003128580FMedicaidGA
003128580HMedicaidGA
003128580DMedicaidGA
003128580EMedicaidGA
003128580JMedicaidGA
003128580GMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000010 GA Practitioner - Nurse Practitioner 0446400451 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R149268GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center PC CurrentSince Aug 1, 2016 Accepting new patients
The Interventional Spine and Pain Management Center, PC CurrentSince Aug 1, 2016 Accepting new patients
Regenerative Spine and Pain Specialists CurrentSince Nov 19, 2021 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
Long Term Care Nurse Practitioner Services, LLC Past Accepting new patients
Georgia Pain Physicians PC Past Accepting new patients
The Healthcaring Clinic of Georgia, LLC Family PastSince May 7, 2013 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

874 Lanier Ave W
Ste 250
Fayetteville, GA 30214
Phone (404) 618-0995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEBCD

Organizations & group practices 8

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1477813954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 VILLAGE PARK LANE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-374-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "770-850-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MONICA",
        "middle_name": "TRECHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R149268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128580G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.