Golden Isles Center for Plastic Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

031386 Issued in GA

Legal business name

GOLDEN ISLES CENTER FOR PLASTIC SURGERY INC

Practice address

2485 Demere Rd Ste 103a
St Simons Island, GA 31522-1621

Phone

(912) 634-1993

Fax

(912) 634-1166

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Diane BowenNPI 1215950431

Title

Owner

Phone

(912) 634-1993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Gwyn Bowen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Saint Simons Island, GA
  • NPI 1215950431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1568638864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 DEMERE RD STE 103A",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221621",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 DEMERE RD STE 103A",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221621",
            "telephone_number": "912-634-1993",
            "fax_number": "912-634-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES CENTER FOR PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-634-1993"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "031386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Gette, D.C.
• Michael Jerome Gilliard II, LPC, NCC
• Laura L. Glazier, D.P.T.
• Glynco Medical Solutions
• Glynn County Healthcare, LLC
• Golden Isles Endodontics, LLC
• Golden Isles Medical LLC
• Golden Isles Vein Institute PC
• Michelle Ann Good, OTR/L
• Neil E. Goodman, M.D.

• Plastic Surgery Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.