Laurie Reynolds Bowles, RN, NP
Individual provider Active NPI Nurse Practitioner · King, NC
NPI 1750690285 · NPPES record last updated Oct 25, 2020
Key facts
- NPI
- 1750690285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5004893 (NC)
- Practice address
- 216 Moore Rd
King, NC 27021-8703 - Phone
- (336) 983-4346
- Fax
- (336) 985-5101
- NPI assigned
- Oct 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Forsyth Memorial Hospital Inc
Practice addresses (Care Compare)
207 Medical St
Pilot Mountain, NC 27041-8656
Phone (336) 368-5011
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110125001244 | NC | Practitioner - Nurse Practitioner | 6709065576 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004893 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
216 Moore Rd
King, NC 27021
Phone (336) 768-1270
167 Moore Rd
King, NC 27021
Phone (336) 983-3878
865 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-6100
207 Medical St
Pilot Mountain, NC 27041
Phone (336) 368-5011
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004893 | NC | Yes |
| Family Nurse Practitioner | 363LF0000X | 5004893 | NC |
Addresses
Primary practice location
216 Moore Rd
King, NC 27021-8703
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 983-4346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005246 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbowles16217@direct.novanthealth.org |
Other providers in King, NC
- Beth Warren
- Richard Scott Bethune
- Jacob Blackman
- Jamie Morgan Blackwelder
- Bodyworks, Inc.
- Toni Boyd
- Trinia Lasonia Brown
- Melissa Ann Bruce
- Diana Bryant
- Calm Source Inc
All providers in King, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.