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MS. ALEXIS NICOLE BOWDER MD
NPI 1063876589
Surgery - Pediatric Surgery in Johnson City, TN

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604(423) 439-7201 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Alexis Nicole Bowder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ALEXIS NICOLE BOWDER MD (NPI 1063876589) is an individual pediatric surgery provider in Johnson City, Tennessee, licensed in Tennessee (73261) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063876589
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMS. ALEXIS NICOLE BOWDERCredential: MD
Location Address325 N STATE OF FRANKLIN RD FL 3Johnson City, TN 37604-6171
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Phone(423) 439-7201
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1063876589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in TN · 73261
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
325 N STATE OF FRANKLIN RD FL 3, Johnson City, TN 37604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Alexis Nicole Bowder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022369438
PECOS Enrollment IDI20250819003281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE HAWKINS MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
COLE BOZEMAN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
DILLON G GRAVES
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
HENRY CLAUDE ELIACIN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
SKYLARR BEERMAN DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
ABIGAIL DIANA OWENS DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
CHRISTOPHER GRANT MORGAN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
MICHAEL J ALLSHOUSE DO
Surgery (Pediatric Surgery)
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Bowder's NPI number?

The NPI number for Alexis Bowder is 1063876589. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Alexis Bowder located?

Alexis Bowder practices at 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604. The listed phone number is (423) 439-7201.

What is Alexis Bowder's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Alexis Bowder enrolled in Medicare?

Yes. Alexis Bowder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexis Bowder accept?

Health plans from BlueCross BlueShield of Tennessee list Alexis Bowder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Bowder was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.