MAC A BOWMAN (NPI# 1972549046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972549046 |
| Entity Type | Individual |
| Full Name | MAC A BOWMAN |
| Credential | MD |
| Practice Address |
818 Saint Sebastian Way Suite 308 Augusta GA 30901-2651 |
| Mailing Address |
Po Box 925 Augusta GA 30903-0925 |
| Practice Telephone | 7067244400 |
| Practice Fax Number | 7067246003 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
021647 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2258 Wrightsboro Rd Ste 400, Augusta, GA 309044788 | 7067244400 | 7067246003 |
| Street Address |
818 SAINT SEBASTIAN WAY SUITE 308 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612352 | Randy Wilson Cooper | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2005-07-12 |
| 1144697194 | Debora Sumner Mulling | Nurse Practitioner | 818 Saint Sebastian Way, Suite 308, Augusta, GA 30901-2651 | 2015-08-25 |
| 1427483155 | Erin Timmerman Cooper | Nurse Practitioner | 818 Saint Sebastian Way, Suite 307, Augusta, GA 30901 | 2013-09-12 |
| 1588902613 | Matthew K Howard, Md, LLC | Internal Medicine | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2013-01-24 |
| 1760735401 | Toni Lynn Davis | Physician Assistant | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2012-10-18 |
| 1104051754 | University Vascular Specialist, Inc. | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2009-05-27 |
| 1750515672 | Neighborhood Improvement Project Inc. | Legal Medicine | 818 Saint Sebastian Way, Suite 404a, Augusta, GA 30901-2651 | 2009-05-06 |
| 1407011802 | Santosh C Varkey | Internal Medicine | 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 | 2008-07-24 |
| 1164685343 | University Sleep Associates | Specialist | 818 Saint Sebastian Way, Suite 101, Augusta, GA 30901-2651 | 2008-07-08 |
| 1235301771 | Brandi Nicole Pettis | Audiologist | 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1861714321 | James Walter Ryan | Internal Medicine | 3047 Lake Forest Dr, Augusta, GA 30909-3027 | 2010-02-24 |
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1508962333 | William Joseph Wylie | Internal Medicine | 837 Chafee Ave, Augusta, GA 30904 | 2006-09-16 |
| 1730108846 | Keith Sue-ling | Internal Medicine | 1349 Druid Park Ave, Augusta, GA 30904 | 2006-07-19 |
| 1033157011 | Augusta Heart Associates | Internal Medicine | 818 St Sebastian Way, Ste 308, Augusta, GA 30901-1076 | 2006-06-03 |
| 1952375537 | Sameh Z. Lamiy | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2006-02-13 |
| 1639159064 | David T. Frost | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2006-01-20 |
| 1134109051 | Rakesh I Baman | Internal Medicine | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2006-01-18 |
| 1730168261 | Faiz U Rehman | Internal Medicine | 818 Saint Sebastian Way Ste 307, Augusta, GA 30901 | 2006-01-12 |
| Find all providers in AUGUSTA | ||||
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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.