DR. RICTAVIOUS BOWENS MD, MBA
NPI 1235931734
Student in an Organized Health Care Education/Training Program in Marietta, GA
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
Specialties & Licenses
Other Names 1
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).
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.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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 Rictavious Bowens's NPI number?
The NPI number for Rictavious Bowens is 1235931734. It was assigned to this individual provider in the NPPES registry on March 25, 2025. The provider is also known as Dr. Rick Bowens MD, Mba.
Where is Rictavious Bowens located?
Rictavious Bowens practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-9750.
What is Rictavious Bowens's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Rictavious Bowens enrolled in Medicare?
Yes. Rictavious Bowens is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rictavious Bowens was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Rictavious Bowens, MD, MBA · NPI 1235931734
Student in an Organized Health Care Education/Training Program provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since March 25, 2025.
## Identity
- **NPI:** 1235931734 (Entity type: Individual)
- **Enumerated:** March 25, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (770) 793-9750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1235931734) · Data from the CMS NPPES public registry.