Individual provider Active NPI

Elizabeth Laird Bowman, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Athens, GA
National Provider Identifier
1851062053
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN255160 Issued in GA
Practice address
775 Sunset Dr
Athens, GA 30606-2211
Phone
(706) 271-5996
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN255160 GA Primary

Addresses

Primary practice location

775 Sunset Dr
Athens, GA 30606-2211

Mailing address

PO Box 172
Athens, GA 30603-0172
Phone (706) 271-5996

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427002976 GA Practitioner - Nurse Practitioner 4082001789 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN255160GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Partners, LLC Single Specialty CurrentSince May 19, 2024 Accepting new patients
Evirtualcare, LLC Single Specialty CurrentSince Jan 24, 2022 Accepting new patients
Premier Health & Performance Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC Single Specialty CurrentSince Nov 30, 2023 Accepting new patients
Piedmont Athens Specialty Care LLC Single Specialty CurrentSince Jul 11, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Single Specialty CurrentSince Sep 1, 2023 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

775 Sunset Dr
Athens, GA 30606
Phone (573) 331-8026

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

3651 Mars Hill Rd
Ste 3400
Watkinsville, GA 30677
Phone (706) 502-0503

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1851062053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306030172",
            "telephone_number": "706-271-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062211",
            "telephone_number": "706-271-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ELIZABETH",
        "middle_name": "LAIRD",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN255160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.