DR. GENESIS BOWEN MD NPI 1104805050

NPI Information

  • NPI: 1104805050
  • Provider Name: DR. GENESIS BOWEN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 N DECATUR RD
    SUITE 190
    DECATUR, GA
    ZIP 30033
  • Phone: (404) 299-9307

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NPI Details

DR. Genesis Bowen, MD is an obstetrics gynecology in Decatur, GA with 26 years of experience. The provider is 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. DR. Genesis Bowen, MD NPI is 1104805050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2000

The provider's business location address is:

2801 N DECATUR RD
SUITE 190
DECATUR, GA
ZIP 30033-949
Phone: (404) 299-9307

The NPI 1104805050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology060706GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010108781MEDICAIDDISTRICT OF COLUMBIA
2836252814CMEDICAIDGEORGIA
3406214100MEDICAIDDISTRICT OF COLUMBIA
4836252814DMEDICAIDGEORGIA
5036150500MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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