Active NPI
Andrea Joy Bowers, MD
- Hospitalist Physician
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 41566
- Practice address
- 2305 Chambliss Ave NW
Cleveland, TN 37311-3847 - Phone
- (423) 559-6000
- Fax
- (423) 559-6653
- NPI assigned
- Dec 22, 2005
- Last updated
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23847 | OK | |
| Hospitalist Physician | 208M00000X | 41566 | TN | Primary |
Addresses
Primary practice location
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Mailing address
PO Box 2153 Dept 40339
Birmingham, AL 35287-9387
Phone (706) 271-0100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000797915G | Medicaid | GA | |
| 3826230 | Medicaid | TN | |
| 4136897 | Other | TN | BCBS |
| 6238240 | Other | TN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41566 | TN | MD | Pharmacist |
| 23847 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Cornerstone Medical Group | Internal Medicine | Past | Accepting new patients |
| Cleveland Medical Clinic Inc | Internal Medicine | Past | Accepting new patients |
Locations
1234 Frye St
Athens, TN 37303
Phone (423) 581-8844
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.401
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1942286786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 40339",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352879387",
"telephone_number": "706-271-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113847",
"telephone_number": "423-559-6000",
"fax_number": "423-559-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "ANDREA",
"middle_name": "JOY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "23847",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "41566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000797915G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3826230",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4136897",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6238240",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.