Donovan Audley Gowdie, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001117 Issued in GA

Practice address

1412 W Oakridge Dr
Albany, GA 31707-5307

Phone

(229) 435-2424

Fax

(229) 435-2324

NPI assigned

Jul 29, 2008

Last updated

Jul 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Athens Model Neighborhood Health Center IncGroup PAC ID 0042291270, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Hospital Hospital, Athens, GA, CCN 110006
• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Foot and Ankle Treatment Center LLC

  • Surgery Physician
  • Watkinsville, GA
  • NPI 1740750041
  Medicare reassignment NPD Authorized official
• Athens Model Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1275751448
  Medicare reassignment Care Compare group
• Athens Model Neighborhood Health Center Inc

  dba Hillsman Health Center

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1053962902
  NPD
• Athens Model Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1093932683
  NPD

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

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation
• St. Mary's Hospital, Inc.

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621
  Care Compare affiliation

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1770749822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 W ALBERSON DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424",
            "fax_number": "229-435-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDIE",
        "first_name": "DONOVAN",
        "middle_name": "AUDLEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006288",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernestina Gonzalez, RPH
• James William Goodson, PHARM D
• Damion Gordon
• Laura D Gosa, PT ASSISTANT
• Tonja Collette Goss
• Donna Graf-Blow, M.D.
• Teresa Terrell Graham, MPA, RD, LD, CLC
• Vickie L Graham, NP
• Granland3 LLC (Albany Urgent Care)
• Donna R Grant, AU.D,CCC-A

• Foot & Ankle Surgery Podiatrist in Albany, GA
• Providers in Albany, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.