Individual provider Active NPI

Alexander Morris Bowen

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1710417696
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000022616 Issued in TN
Practice address
979 E 3Rd St Ste C-520
Chattanooga, TN 37403-2136
Phone
(423) 778-5661
Fax
(423) 778-5664
NPI assigned
Jun 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000022616 TN Primary

Addresses

Primary practice location

979 E 3Rd St Ste C-520
Chattanooga, TN 37403-2136

Mailing address

975 E. Third Street
Attn: Provider Enrollment
Chattanooga, TN 37403
Phone (423) 778-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180102001922 TN Practitioner - Nurse Practitioner 8820356421 Reassigns benefits to 6 organizations
I20260211003918 CA Practitioner - Nurse Practitioner 8820356421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

18 N Cavalier Dr
Alamo, TN 38001-6468
Phone (731) 696-4500

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22616TNMDAcute Care Nurse Practitioner
APN0000022616TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2017 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Aug 11, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 11, 2025 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Oct 1, 2017 Accepting new patients
BH Services Southeast 1 PC CurrentSince Aug 11, 2025 Accepting new patients
Stallant Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 11, 2025 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Stallant Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health Past Accepting new patients

Locations

515 E Washington Blvd
Crescent City, CA 95531
Phone (707) 460-1802

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

1614 Gunbarrel Rd
#101
Chattanooga, TN 37421
Phone (423) 553-7600

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710417696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E. THIRD STREET",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37403",
            "telephone_number": "423-778-5630",
            "fax_number": "423-778-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE C-520",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-778-5661",
            "fax_number": "423-778-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ALEXANDER",
        "middle_name": "MORRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000022616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.