Individual provider Active NPI

Chereese Bedingfield Rowe, PA-C

  • Physician Assistant
  • Dublin, GA
National Provider Identifier
1699020057
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006496 Issued in GA
Practice address
101 Medical Dr
Dublin, GA 31021-2548
Phone
(478) 275-3782
Fax
(478) 275-8937
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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 006496 GA Primary

Addresses

Primary practice location

101 Medical Dr
Dublin, GA 31021-2548

Mailing address

101 Medical Dr
Dublin, GA 31021-2548
Phone (478) 275-3782

Other identifiers 2

IdentifierTypeStateIssuer
003128037FMedicaidGA
003141398AMedicaidGA

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
I20121024000277 GA Practitioner - Physician Assistant 1658521810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor and Karoly, PCGroup PAC ID 3476549023, 3 clinicians
Peterson Dermatology, P.C.Group PAC ID 7113018334, 4 clinicians

Practice addresses (Care Compare)

101 Medical Dr
Dublin, GA 31021-2548
Phone (478) 275-3782

305 W 1St St
Vidalia, GA 30474-3302
Phone (912) 538-9080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.65 of 100Reported as group
Quality
55.3
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006496GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services PC Physician Assistant CurrentSince Sep 1, 2012 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1699020057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212548",
            "telephone_number": "478-275-3782",
            "fax_number": "478-275-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212548",
            "telephone_number": "478-275-3782",
            "fax_number": "478-275-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "CHEREESE",
        "middle_name": "BEDINGFIELD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128037F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141398A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.