Individual provider Active NPI

Gussie Bowman, RN

  • Administrator Registered Nurse
  • Jonesboro, GA
National Provider Identifier
1518765478
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN216819 Issued in GA
Practice address
1489 Mundys Mill Rd Ste 100
Jonesboro, GA 30238-6026
Phone
(770) 702-0323
Fax
(888) 712-7702
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN216819 GA Primary

Addresses

Primary practice location

1489 Mundys Mill Rd Ste 100
Jonesboro, GA 30238-6026

Mailing address

1489 Mundys Mill Rd Ste 100
Jonesboro, GA 30238-6026
Phone (770) 702-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN216819GAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Hands Home Care, LLC Current Accepting new patients

Locations

1489 Mundys Mill Rd
Ste 100
Jonesboro, GA 30238
Phone (770) 702-0323

Organizations & group practices 1

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1518765478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 MUNDYS MILL RD STE 100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386026",
            "telephone_number": "770-702-0323",
            "fax_number": "888-712-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 MUNDYS MILL RD STE 100",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386026",
            "telephone_number": "770-702-0323",
            "fax_number": "888-712-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "GUSSIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN216819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.