Individual provider Active NPI

Tamara M Bowers, D.O.

  • Emergency Medicine Physician
  • Pontiac, MI
National Provider Identifier
1609976927
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101015454 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342
Phone
(248) 338-5516
Fax
(248) 338-5547
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015454 MI Primary
Emergency Medicine Physician 207P00000X 059128 GA

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342

Mailing address

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5516

Other identifiers 9

IdentifierTypeStateIssuer
598549056EMedicaidGA
01057454OtherGAAMERIGROUP
598549056BMedicaidGA
598549056CMedicaidGA
598549056AMedicaidGA
598549056GMedicaidGA
598549056MedicaidGA
G59128MedicaidSC
598549056DMedicaidGA

Other names 1

  • Dr. Tamara McVay Bowers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070523000168 GA Practitioner - Emergency Medicine 7810973021 Reassigns benefits to 4 organizations
I20180830001166 TN Practitioner - Emergency Medicine 7810973021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3453TNMDOptometrist
5101015454MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Emergency Group, PC Emergency Medicine CurrentSince Apr 25, 2018 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
Wayne Emergency Group LLC Emergency Medicine CurrentSince Aug 22, 2016 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Jun 5, 2018 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1609976927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5516",
            "fax_number": "248-338-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48342",
            "telephone_number": "248-338-5516",
            "fax_number": "248-338-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "TAMARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015454",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "059128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01057454",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G59128",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598549056D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "BOWERS",
            "middle_name": "MCVAY",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.