Richard Lee Bowe, M.D.
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Albany, GA
NPI 1619085230 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619085230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 030961 (GA)
- Practice address
- 406 W 1St Ave
Albany, GA 31701-2202 - Phone
- (229) 439-9400
- Fax
- (229) 436-3718
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Missouri, Kansas City, School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoebe Physician Group Inc
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000068 | GA | Practitioner - Anesthesiology | 9234213984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030961 | GA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current |
Accepting new patients | |
| Phoebe Family Medicine,Coffee County | Current |
Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Past |
Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
406 W 1st Ave
Albany, GA 31701
Phone (229) 439-9400
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 030961 | GA | Yes |
Addresses
Primary practice location
406 W 1St Ave
Albany, GA 31701-2202
Mailing address
406 W 1St Ave
Albany, GA 31701-2202
Phone (229) 439-9400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238495 | Other | GA | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619085230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 W 1ST AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012202",
"telephone_number": "229-439-9400",
"fax_number": "229-436-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W 1ST AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012202",
"telephone_number": "229-439-9400",
"fax_number": "229-436-3718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWE",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "030961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "238495",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
- Albert Koy Booth III
- Rebecc Mohl Borer
- Cheryl Boyett Botkin
- Salim Bou Slaiman
- Sidney Bowden
- Tasha L Bowman
- Gloria Ann Boyd
- Tammy Boyd
- Thea Rebecca Boyd
- Susan Darlene Boyett
All providers in Albany, GA · Pain Medicine (Anesthesiology) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.