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BRETT ASHLEY BOWIE M.D.
NPI 1215026646
Obstetrics & Gynecology in Lagrange, GA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
303 MEDICAL DR STE 405, LAGRANGE, GA 30240(706) 242-5099(706) 242-5231 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Jun 19, 2019 (2 updates tracked since 2019).

About Brett Ashley Bowie M.d. NPPES

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

BRETT ASHLEY BOWIE M.D. (NPI 1215026646) is an individual obstetrics & gynecology provider in Lagrange, Georgia, licensed in Georgia (054552) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1215026646
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRETT ASHLEY BOWIECredential: M.D.
Location Address303 MEDICAL DR STE 405Lagrange, GA 30240-4145
Mailing Address303 Medical Dr Ste 405Lagrange, GA 30240-4145 · (706) 242-5099 · Fax (706) 242-5231
Phone(706) 242-5099
Fax(706) 242-5231
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2000
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1215026646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 054552
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
303 MEDICAL DR STE 405, Lagrange, GA 30240
Open in Google Maps ↗

Secondary Practice Location 1

Location 1775 Poplar Rd Ste 120Newnan, GA 30265 · Phone (770) 400-4523 · Fax (678) 423-2737

Other Identifiers 1

Medicaid111599922AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Brett Ashley Bowie M.d. 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 ID7911986617
PECOS Enrollment IDI20040716000120
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KATHERINE STARRETT MAGNUSON DO
Obstetrics & Gynecology
303 MEDICAL DR STE 405
LAGRANGE, GA 30240
Troup County (706) 803-7690
KERRI FORRESTER HENSARLING M.D.
Obstetrics & Gynecology
303 MEDICAL DR STE 405
LAGRANGE, GA 30240
Troup County (706) 803-7690
STEPHANIE WHITE CRNP
Nurse Practitioner (Family)
303 MEDICAL DR STE 405
LAGRANGE, GA 30240
Troup County (706) 242-5099

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 Brett Bowie's NPI number?

The NPI number for Brett Bowie is 1215026646. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Brett Bowie located?

Brett Bowie practices at 303 Medical Dr Ste 405, Lagrange, GA 30240. The listed phone number is (706) 242-5099.

What is Brett Bowie's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brett Bowie enrolled in Medicare?

Yes. Brett Bowie 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 Brett Bowie accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Brett Bowie 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.

Is Brett Bowie affiliated with any hospitals?

According to CMS data, Brett Bowie is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Bowie was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.