NPIMap

Organization Active NPI

Rome Orthopaedic Center PC

  • Orthopaedic Surgery Physician
  • Rome, GA
National Provider Identifier
1649288325
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ROME ORTHOPAEDIC CENTER PC
Practice address
100 Three Rivers Dr NE
Ste a
Rome, GA 30161-4999
Phone
(706) 292-0040
Fax
(706) 378-0556
NPI assigned
Aug 4, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Scott G Bowerman, M.D.NPI 1124036876
Title
President
Phone
(706) 292-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X GA Primary
Orthopaedic Surgery Physician 207X00000X 059378 GA
Orthopaedic Hand Surgery Physician 207XS0106X GA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X GA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X GA

Addresses

Primary practice location

100 Three Rivers Dr NE
Ste a
Rome, GA 30161-4999

Mailing address

100 Three Rivers Dr NE
Ste a
Rome, GA 30161-4999
Phone (706) 292-0040

Other identifiers 1

IdentifierTypeStateIssuer
300034419AMedicaidGA

Other names 1

  • Rome Orthopaedic Clinic PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040401001395 GA Part B Supplier - Clinic/Group Practice 9234121864 Receives reassigned benefits from 18 practitioners
Practice locations: Rome, GA
O20100930072760 GA DME Supplier - Physician - General Practice 9234121864 Practice locations: Rome, GA

National Provider Directory

National Provider Directory

Locations

2370 Rockmart Hwy
Ofc
Cedartown, GA 30125
Phone (706) 292-0040

100 Three Rivers Dr NE
Ste A
Rome, GA 30161
Phone (706) 292-0040

1013 N 5th Ave NE
Ste 7
Rome, GA 30165
Phone (706) 291-6510

305 N 5th Ave SW
Rome, GA 30165
Phone (706) 292-0040

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1649288325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THREE RIVERS DR NE",
            "address_2": "STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-292-0040",
            "fax_number": "706-378-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THREE RIVERS DR NE",
            "address_2": "STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-292-0040",
            "fax_number": "706-378-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME ORTHOPAEDIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-292-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "059378",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034419A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rome Orthopaedic Clinic PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.