Individual provider Active NPI

Jennifer V Bowers, PA-C

  • Physician Assistant
  • Madison, GA
National Provider Identifier
1669022596
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9435 Issued in GA
Practice address
1740 Lions Club Rd
Madison, GA 30650-4762
Phone
(706) 438-1275
Fax
(706) 438-1278
NPI assigned
Sep 12, 2019
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9435 GA Primary

Addresses

Primary practice location

1740 Lions Club Rd
Madison, GA 30650-4762

Mailing address

1740 Lions Club Rd
Madison, GA 30650-4762
Phone (706) 438-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106001593 GA Practitioner - Physician Assistant 3072845346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1110 Commerce Dr
Suite 108
Greensboro, GA 30642-7444
Phone (706) 310-1859

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9435GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Group, Inc. CurrentSince Oct 7, 2019 Accepting new patients
North Georgia Neprology Consultants LLC PastSince Sep 1, 2019 Accepting new patients
Athens Internal Medicine PC Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1500 Oglethorpe Ave
Ste 3700
Athens, GA 30606
Phone (401) 952-8370

2470 Daniells Bridge Rd
Ste 251
Athens, GA 30606
Phone (706) 310-1859

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1110 Commerce Dr
Ste 108
Greensboro, GA 30642
Phone (706) 310-1859

355 Clear Creek Pkwy
Ste 2004
Lavonia, GA 30553
Phone (706) 356-0554

868 Michael Etchison Rd
#B
Monroe, GA 30655
Phone (706) 389-3440

Interoperability endpoints

  • Direct secure messaging: jvincent2022086@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1669022596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504762",
            "telephone_number": "706-438-1275",
            "fax_number": "706-438-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504762",
            "telephone_number": "706-438-1275",
            "fax_number": "706-438-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

Verify at the official NPI Registry.