MRS. MEREDITH K BOWMAN


Address: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754
Phone: 7068454045

MRS. MEREDITH K BOWMAN (NPI# 1659935963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659935963
Entity Type Individual
Full Name MRS. MEREDITH K BOWMAN
Credential PP, BA
Practice Address 122 Gordon Commercial Dr Ste C
Lagrange
GA 30240-5754
Practice Telephone 7068454045
Practice Fax Number 7068454367
Mailing Telephone 7068454045
Enumeration Date 2019-04-23
Last Update Date 2019-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist GA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
141 Mill Pond Xing Unit L3, Carrollton, GA 301161229 4044338779

Office Location

Street Address 122 GORDON COMMERCIAL DR STE C
City LAGRANGE
State GA
Zip Code 30240-5754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083938492 Melissa Ann Johnson Counselor 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2010-03-15
1689282220 Sherjuana Davis Social Worker 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2020-07-20
1821636846 Katie Kinsey Case Manager/Care Coordinator 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-12-20
1104464296 Christopher Blake Glaze Counselor 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-12-19
1134767361 Forrest Johnson Case Manager/Care Coordinator 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-12-18
1033755475 Zenetta Michelle Harris Licensed Practical Nurse 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-11-20
1760023915 Mariana Garcia Case Manager/Care Coordinator 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-09-30
1134770274 Jennie Laplant Counselor 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-09-20
1427608652 Robin Wilson Licensed Practical Nurse 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-09-19
1912555103 Sophia Vaughn Contractor 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2019-08-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598223844 Urgencare, LLC Clinic/Center 2169 West Point Road, Suite 105, Lagrange, GA 30240 2019-03-06
1679075527 Georgia Pain and Spine Care, Inc Pain Medicine 303 Smith St Fl 2, Lagrange, GA 30240 2018-03-07
1629463500 Quoc Vinh Ngo Emergency Medicine Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 2015-03-30
1770913964 Dell H Lawson Counselor 300 Medical Dr. Ste 705., Lagrange, GA 30240 2013-11-25
1629418793 Mortar & Pestle, LLC Pharmacy 205 Vernon Street, Lagrange, GA 30240 2013-07-03
1336582329 Weredeselam Menna Olango Psychiatry & Neurology 303 Medical Dr Ste 401, Lagrange, GA 30240 2013-04-10
1720333743 Mortar and Pestle, LLC Pharmacy 300 Mooty Bridge Road, Lagrange, GA 30240 2012-07-16
1366768459 Karin Taylor Physical Medicine & Rehabilitation 1600 Vernon Rd Ste A, Lagrange, GA 30240 2010-04-14
1871819458 Kathryn J Hill Counselor 100 Smith St Ste 1, Lagrange, GA 30240 2010-04-08
1285802751 Air Evac Ems, Inc. Ambulance 455 Aerotron Pkwy, Lagrange, GA 30240 2008-02-18
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952862286 Kaneisha Mack Peer Specialist 122 Gordon Commercial Dr, Lagrange, GA 30240-5754 2019-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760103 Green Zone Counseling Peer Specialist 432 Canton Rd Ste G, Cumming, GA 30040-2000 2020-11-02
1225678386 John William Burdeshaw Peer Specialist 3916 Valley Rd, Columbus, GA 31907-5657 2020-01-07
1851953962 Jamie Greshawn Hudgens Peer Specialist 1734 Ridge Ct Se, Conyers, GA 30013-1726 2019-06-28
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
1669941761 Paul-david Arthur Cooper Peer Specialist 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 2018-11-19
1477069292 Penny Campbell Foskey Peer Specialist 2041 W Elm St, Wrightsville, GA 31096-5156 2017-12-15
1568913945 Michelle Little Peer Specialist 6828 Sarah Jane Ln, Riverdale, GA 30296-2600 2016-10-20
1386195774 Scott Kerns Jr. Peer Specialist 433 Highland Ave Ne, Apt 1156, Atlanta, GA 30312-1391 2016-10-20
1558713479 Safe Place Atlanta Peer Specialist 6612 Pamplona Pl, College Park, GA 30349-8491 2016-07-02
1194196329 Mary Williams Peer Specialist 277 E Big Indian Trl Ne, Rome, GA 30165-7413 2015-10-14
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Competitor

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City LAGRANGE
Zip Code 30240

Improve Information

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Dataset Information

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.

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