Active NPI
James P McGowan, M.D.
- Internal Medicine Physician
- Lagrange, GA
National Provider Identifier
1831135987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28833
- Practice address
- Clark-Holder Clinic, P.a.
303 Smith Street
Lagrange, GA 30240 - Phone
- (706) 882-8831
- Fax
- (706) 812-4091
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28833 | GA | Primary |
Addresses
Primary practice location
Clark-Holder Clinic, P.a.
303 Smith Street
Lagrange, GA 30240
Mailing address
Clark-Holder Clinic, P.a.
303 Smith Street
Lagrange, GA 30240
Phone (706) 882-8831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028833 | GA | MD | Pharmacist |
| 28833 | GA | MD | Internal Medicine Physician |
Interoperability endpoints
- james.mcgowan@westgahealth.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831135987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CLARK-HOLDER CLINIC, P.A.",
"address_2": "303 SMITH STREET",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30240",
"telephone_number": "706-882-8831",
"fax_number": "706-812-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLARK-HOLDER CLINIC, P.A.",
"address_2": "303 SMITH STREET",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30240",
"telephone_number": "706-882-8831",
"fax_number": "706-812-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "JAMES",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "28833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.