Slater Benjamin Lowry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11050 Issued in MS

Practice address

362 Park Creek Drive
Columbus, MS 39705-1324

Phone

(662) 244-8864

Fax

(662) 244-8874

NPI assigned

Nov 13, 2006

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lowry Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1922371442
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1619048204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 PARK CREEK DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051326",
            "telephone_number": "662-244-8864",
            "fax_number": "662-244-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 PARK CREEK DRIVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051324",
            "telephone_number": "662-244-8864",
            "fax_number": "662-244-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "SLATER",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11050",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00013753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE #",
            "identifier": "73003895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS LICENSE #",
            "identifier": "11050",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "25D0981538",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "640933050",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119201",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela V Lott, CFNP
• Kelly Christi Lovelace, MS
• Lacee Nicole Lowder, MSN, APRN, FNP
• Summer Chase Lowery, DDS
• Lowry Medical Clinic
• Lucy R Flowers, LPC, LLC
• Mary Lauren Luke, DPT
• Leah Ashley Macias, PA-C
• Sharon Stegall Macmahon, RPH
• Magnolia Family Dentistry of Columbus, Inc.

• Internal Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.