Alycia Dawn Bowles, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3732 Issued in TN

Practice address

1738 Dayton Blvd Ste 114
Chattanooga, TN 37405-2188

Phone

(423) 800-0100

NPI assigned

Nov 11, 2019

Reactivated

Jan 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clearly Grace Concierge Chiropractic, LLC.

  • Health Service Clinic/Center
  • Melbourne, FL
  • NPI 1629615356
  NPD (past) Authorized official

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1619512944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ADKISSON DR NW APT 2711",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123175",
            "telephone_number": "321-576-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 DAYTON BLVD STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052188",
            "telephone_number": "423-800-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "ALYCIA",
        "middle_name": "DAWN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "deactivation_date": "2019-11-22",
        "reactivation_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3732",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemison O Bowers, MD
• Kathleen L Bowers, NP
• Patrick Joseph Bowers Jr., MD
• Robert E. Bowers, M.D.
• Skylar Victoria Bowers, WHNP-BC, RN
• Shelby Montana Bowlin
• Bailey Crick Bowman, PHARM.D.
• Ryan S Bowman, PA
• Reagan Box, MD
• Ashley Boyce, PA-C

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.