GARY ANTHONY RUDOLPH BOWEN (NPI# 1265849343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265849343 |
| Entity Type | Individual |
| Full Name | GARY ANTHONY RUDOLPH BOWEN |
| Credential | PA-C |
| Practice Address |
1014 Sycamore Dr Suite B Decatur GA 30030-1644 |
| Mailing Address |
825 Common Oak Pl Lawrenceville GA 30045-8256 |
| Practice Telephone | 4044804229 |
| Mailing Telephone | 2107813997 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7262 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649322074 | Gary M Bowen II | Dentist | 319 Main St., Clay, WV 25043 | 2007-01-17 |
| 1316181621 | Gary B Bowen | Technician/Technologist | 706 Fleming St, Hendersonville, NC 28791-3526 | 2009-04-30 |
| 1619048022 | Gary Dean Bowen | Dermatology | 2741 S 8th Ave, #a, Yuma, AZ 85364 | 2006-11-10 |
| Street Address |
1014 SYCAMORE DR SUITE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528895 | Valerie Lynne Compson | Specialist/Technologist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2006-06-20 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1104274323 | Monal, LLC | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2016-05-27 |
| 1275760720 | Daniel Thomas Huttman | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-06-11 |
| 1346474004 | Amanda Lauren Dempsey | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-05-11 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1700965159 | Diana Spock Adebulehin | Physician Assistant | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1790864049 | Timothy J. Mills | Registered Nurse | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1720167083 | Jessica E. Simbro | Physical Therapist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1396824991 | Corey Darnell Bennett | Specialist/Technologist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374860 | Lauren Nolan | Physician Assistant | 500 Irvin Ct # 200, Decatur, GA 30030-1705 | 2020-07-23 |
| 1134749930 | Elissa Stanton | Physician Assistant | 1280 Sanden Ferry Dr, Decatur, GA 30033-3346 | 2020-04-21 |
| 1902457138 | April Lynette Williams | Physician Assistant | 3669 Riverchase Ter, Decatur, GA 30034-4876 | 2019-09-29 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1124531249 | Carolina Espina | Physician Assistant | 2665 N Decatur Rd Ste 630, Decatur, GA 30033-6147 | 2017-11-10 |
| 1447703731 | Jessica Lin Brewer | Physician Assistant | 2186 Clairmont Rd, Decatur, GA 30033-1937 | 2016-08-03 |
| 1174972459 | Peter Bell | Physician Assistant | 2946 Clifton Springs Rd, Decatur, GA 30034-3820 | 2016-06-08 |
| 1902299597 | Farida Ahmadi | Physician Assistant | 200 E Ponce De Leon Ave Ste 110, Decatur, GA 30030-3467 | 2015-03-06 |
| 1730431313 | Daniel Lau | Physician Assistant | 2801 N. Decatur Road Suite 200, Decatur, GA 30033 | 2012-10-08 |
| 1720344302 | Kanwal Kapadia Lalani | Physician Assistant | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2012-04-08 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.