MARIA ANTONINA MCGOWAN – Dermatology Physician, NPI 1699023499

MARIA ANTONINA MCGOWAN is a healthcare provider. based in Savannah, Georgia. specializing in DERMATOLOGY. They hold a License No. 0550030608 (VT). The NPI Number for MARIA ANTONINA MCGOWAN is 1699023499

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MARIA ANTONINA MCGOWAN
NPI
1699023499
Phone
(912) 350-1723
Address
4700 Waters Ave
Enumeration Date
27 August 2012
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8028640192
Graduation Year
2016 (10 years ago)
PAC ID
9739585993
Group Practice PAC ID
4688011992
Professional Enrollment ID
I20210914000679
Address ID
VT054465988CO354XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for MARIA ANTONINA MCGOWAN

  • 4700 Waters Ave

    Savannah, GA 314046220

    Phone: (912) 350-1723

    Type: Location

  • 4700 WATERS AVE

    SAVANNAH, GA 314046220

    Phone: (912) 350-1723

    Type: Location

  • 354 MOUNTAIN VIEW DR STE 300

    COLCHESTER, VT 054465988

    Phone: (802) 864-0192

    Fax: (802) 860-4919

    Type: Location

  • 28 Stowe St Ste 3

    Waterbury, VT 056761883

    Phone: (802) 864-0492

    Fax: (802) 860-4919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210914000679IDermatologyVTTBD
I20260205001420IDermatologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths660178$0
99213Established patient office or other outpatient visit, 20-29 minutes447377$0
17000Destruction of precancer skin growth, 1 growth291253$0
11102Biopsy of related skin growth, first growth211193$0
17110Destruction of skin growth, 1-14 growths170154$0
View full utilization report →

Insurance plans in this area (ZIP 31404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688011992View full group profile
NameSpecialtyState
D E R M A T O L O G YVT
Physician AssistantVT
Physician AssistantVT
D E R M A T O L O G YVT
D E R M A T O L O G YNY
D E R M A T O L O G YFL
Nurse PractitionerVT
D E R M A T O L O G YCT
Physician AssistantVT
Physician AssistantVT

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Frequently asked questions

How is MARIA ANTONINA MCGOWAN identified in CMS data?
CMS-hosted NPPES data lists MARIA ANTONINA MCGOWAN with NPI 1699023499.
Does CMS list MARIA ANTONINA MCGOWAN as active?
Yes — MARIA ANTONINA MCGOWAN is active in the NPI listing used on this page.
What is MARIA ANTONINA MCGOWAN's specialty?
The listing groups MARIA ANTONINA MCGOWAN with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARIA ANTONINA MCGOWAN?
MARIA ANTONINA MCGOWAN's geographic hint is Savannah, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.