Active NPI
Angel Bowden, AGNP
- Gerontology Nurse Practitioner
- Kinston, NC
National Provider Identifier
1619567666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5013991
- Practice address
- 2150 Hull Rd
Kinston, NC 28504-2052 - Phone
- (800) 979-9595
- Fax
- (248) 662-9845
- NPI assigned
- Jan 24, 2021
- Last updated
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5013991 | NC | Primary |
Addresses
Primary practice location
2150 Hull Rd
Kinston, NC 28504-2052
Mailing address
PO Box 1971
Clinton, NC 28329-1971
Phone (910) 379-7687
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | abowden@generalmedicine.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013991 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
Organizations & group practices 3
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.
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1619567666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1971",
"city": "CLINTON",
"state": "NC",
"postal_code": "283291971",
"telephone_number": "910-379-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 HULL RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285042052",
"telephone_number": "800-979-9595",
"fax_number": "248-662-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "ANGEL",
"name_prefix": "Ms.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5013991",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "abowden@generalmedicine.com",
"affiliation": "N",
"address_1": "2150 Hull Rd",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285042052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.