DR. RICTAVIOUS BOWENS MD, MBA
NPI 1235931734
Student in an Organized Health Care Education/Training Program in Marietta, GA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2025PECOS Enrolled

677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-9750 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Rictavious Bowens Md, Mba NPPES

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

DR. RICTAVIOUS BOWENS MD, MBA (NPI 1235931734) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235931734

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. RICTAVIOUS BOWENSCredential: MD, MBA

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address677 Church St NeMarietta, GA 30060-1101

Phone(770) 793-9750

Sole ProprietorNo

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1235931734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

677 CHURCH ST NE, Marietta, GA 30060

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Other Names 1

Other Name (5)Dr. Rick Bowens Md, Mba

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rictavious Bowens Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.