Beverly Fowler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN196551 Issued in GA

Practice address

440 US Highway 84 E
Cairo, GA 39828-1647

Phone

(229) 307-2075

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoebe Putney Memorial Hospital, Inc. 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721

  GA

  Medicare reassignment Care Compare group NPD
• Phoebe Putney Memorial Hospital Inc

  • Community/Retail Pharmacy
  • Albany, GA
  • NPI 1891315420
  Care Compare group NPD
• Phoebe Putney Memorial Hospital Inc

  • Home Health Agency
  • Albany, GA
  • NPI 1790766863
  Care Compare group
• Phoebe Putney Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Albany, GA
  • NPI 1316992027
  Care Compare group
• Phoebe Putney Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Albany, GA
  • NPI 1669438404
  Care Compare group
• Phoebe Putney Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Camilla, GA
  • NPI 1821293788
  Care Compare group
• Phoebe Putney Memorial Hospital, Inc.

  • Community Based Hospice Care Agency
  • Albany, GA
  • NPI 1851356349
  Care Compare group
• Phoebe Putney Memorial Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Albany, GA
  • NPI 1871697508
  Care Compare group
• Phoebe Women'S Services

  • Obstetrics & Gynecology Physician
  • Albany, GA
  • NPI 1639338320
  NPD
• Rural Urgent Care LLC

  • Rural Health Clinic/Center
  • Eufaula, AL
  • NPI 1588450316
  NPD
• Rural Urgent Care LLC

  • Urgent Care Clinic/Center
  • Centre, AL
  • NPI 1932586476
  NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1831798552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-644-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 US HIGHWAY 84 E",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281647",
            "telephone_number": "229-307-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN196551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Tinese Everett, MA, PP
• Raina Morgan Ferenchick, M.D.
• First Choice Health Care LLC
• Alyxandria Fiveash
• Stephen L Floore, M.D.
• Freds Stores of Tennessee Inc
• Fully Corporation
• Garland Ashley Register
• Georgia Pines Community Service Board
• Georgia Pines Community Service Board

• All providers in Cairo, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.