Samantha Lynn Bowen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011479 Issued in NC

Practice address

110 Professional Park
Oxford, NC 27565-2576

Phone

(919) 693-6541

Fax

(919) 693-7396

NPI assigned

Feb 18, 2019

Reactivated

Feb 27, 2019

Last updated

Feb 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Granville Health Systems Hospital, Oxford, NC, CCN 340127

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.williamson.p1@direct.carolinarehab.nextgenshare.com
• Direct secure messaging: samanthawilliamson@gvhs.allscriptsdirect.net

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.

• Granville Health System

  dba Granville CRNA Group

  • Certified Registered Nurse Anesthetist
  • Oxford, NC
  • NPI 1275638512
  Medicare reassignment Care Compare group NPD
• Carolina Rehabilitation and Surgical Associates, PA

  • Physical Medicine & Rehabilitation Physician
  • Raleigh, NC
  • NPI 1518913656
  Medicare reassignment NPD
• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Primary Care

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1215273628
  Medicare reassignment NPD
• DLP Maria Parham Physician Practices LLC

  dba Maria Parham Radiation Oncology

  • Radiation Oncology Physician
  • Henderson, NC
  • NPI 1063890176
  NPD
• DLP Maria Parham Physician Practices LLC

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1578256749
  NPD
• Granville Health System

  • Diagnostic Radiology Physician
  • Oxford, NC
  • NPI 1104683341
  NPD
• Granville Health System

  dba Granville Hospitalist Specialty Group

  • Hospitalist Physician
  • Oxford, NC
  • NPI 1629252986
  NPD
• Granville Health System

  dba Granville Internal Medicine & Geriatrics

  • Rural Health Clinic/Center
  • Oxford, NC
  • NPI 1811999055
  NPD
• Granville Health System

  dba Granville Behavioral Health Services

  • Psychiatry Physician
  • Oxford, NC
  • NPI 1710089164
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granville Health System

  • General Acute Care Hospital
  • Oxford, NC
  • NPI 1326061730
  Care Compare affiliation

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1861958522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650986",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL PARK",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652576",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "568 Ruin Creek Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365921",
            "country_code": "US",
            "telephone_number": "252-436-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "deactivation_date": "2019-02-18",
        "reactivation_date": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BN Healthcare, LLC (Oxford Manor)
• Michael D Bobb Jr., DO
• Lori Borden, PT
• Jennifer Decre Boretti, MSW, LCSW-C, LCSW
• Mark E Bostic, D.D.S.
• Holly Samantha Boyd, MSN, FNP-C
• Chrystal Jane Boyle, PTA
• Estena Patricia Bradley, NP- WOMENS HEALTH
• Jason Brand
• Lanita Breeze

• Family Nurse Practitioner in Oxford, NC
• Providers in Oxford, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.