Individual provider Active NPI

Eleanor Cowherd, APRN

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1972178218
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN144664 Issued in GA
Practice address
600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone
(912) 409-1600
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN144664 GA Primary

Addresses

Primary practice location

600 Coastal Village Dr
Brunswick, GA 31520-1973

Mailing address

124 SW Broad St
Jesup, GA 31545-1100
Phone (912) 280-7023

Other names 1

  • Ms. Eleanor Cowherd Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CarelogicEMR

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
I20210720003100 GA Practitioner - Nurse Practitioner 4385047919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN144664GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Behavioral Health Services CurrentSince Jun 1, 2021 Accepting new patients
Gateway Community Service Board CurrentSince Jun 1, 2021 Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

700 Charles Gilman Jr Ave
Kingsland, GA 31548
Phone (912) 280-7023

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1972178218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW BROAD ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451100",
            "telephone_number": "912-280-7023",
            "fax_number": "912-289-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COASTAL VILLAGE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201973",
            "telephone_number": "912-409-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWHERD",
        "first_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN144664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CarelogicEMR",
            "affiliation": "N",
            "address_1": "600 Coastal Village Dr",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315201973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "COWHERD",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.