Individual provider Active NPI

Megan Elizabeth Bowles, MD

  • Internal Medicine Physician
  • Roswell, GA
National Provider Identifier
1790776524
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
068486 Issued in GA
Practice address
11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982
Phone
(770) 619-5100
Fax
(404) 250-8067
NPI assigned
Nov 1, 2005
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 068486 GA Primary

Addresses

Primary practice location

11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982

Mailing address

11685 Alpharetta Hwy Ste 270
Roswell, GA 30076-4982
Phone (770) 619-5100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000443 GA Practitioner - Internal Medicine 5890734818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11685 Alpharetta Hwy
Suite 270
Roswell, GA 30076-4982
Phone (770) 619-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
068486GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Jun 1, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3939 Roswell Rd
Ste 200
Marietta, GA 30062
Phone (470) 956-3940

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

980 Birmingham Rd
Ste 304
Milton, GA 30004
Phone (470) 639-6340

11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076
Phone (770) 410-4610

11685 Alpharetta Hwy
Ste 380
Roswell, GA 30076
Phone (770) 475-7550

1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1790776524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY STE 270",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764982",
            "telephone_number": "770-619-5100",
            "fax_number": "404-250-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY STE 270",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764982",
            "telephone_number": "770-619-5100",
            "fax_number": "404-250-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "068486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.