Mary L Bowen, APRN
Individual provider Active NPI Family Nurse Practitioner · Hampton, SC
NPI 1790744662 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1790744662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1833 (SC)
- Practice address
- 300 Maple St W
Hampton, SC 29924-3238 - Phone
- (803) 943-3813
- Fax
- (803) 943-5971
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Urgent Care of South Carolina PC
Lowcountry Urgent Care LLC
Practice addresses (Care Compare)
1390 Tiger Blvd
Clemson, SC 29631-2617
Phone (864) 752-9940
182 C Sea Island Pkwy
Beaufort, SC 29907-1503
Phone (843) 322-1933
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20041112000115 | SC | Practitioner - Nurse Practitioner | 2668436494 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1833 | SC | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current |
Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current |
Accepting new patients | |
| Lowcountry Urgent Care LLC | Current |
Accepting new patients | |
| Prisma Health Urgent Care of South Carolina, PC | Current |
Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Colleton Medical Hospitalists LLC | Family | Past | Accepting new patients |
| Robert L Thomas MD FCCP LLC | Past |
Accepting new patients | |
| Colleton Medical Anesthesia, LLC | Past | Accepting new patients |
Locations
182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
1390 Tiger Blvd
Clemson, SC 29631
Phone (864) 654-3781
1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609
300 Maple St W
Hampton, SC 29924
Phone (803) 943-3128
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600
201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397
Interoperability endpoints
- mbowen877115@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1833 | SC | Yes |
Addresses
Primary practice location
300 Maple St W
Hampton, SC 29924-3238
Mailing address
201 Sigma Dr Ste 100
Summerville, SC 29486-7722
Phone (803) 943-3813
Other practice location 1
1390 Tiger Blvd
Clemson, SC 29631-2617
Phone (864) 752-9940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0734 | Medicaid | SC | |
| P01173874 | Other | SC | RR-MEDICARE |
Other providers in Hampton, SC
- Beaufort Jasper Hampton Comprehensive Health Services, Inc.
- Beaufort Pharmacy and Compounding LLC
- Nicole G. Bennett
- Carrie Bess Benton
- Brittany Bernardino
- Gerald Vance Boyles
- Susan R Britt
- Angie Bunton
- Carrie B. Benton, LLC
- Christina Ann Cartagena
All providers in Hampton, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. 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.