BOWDON FAMILY MEDICINE LLC – Family Medicine Physician, NPI 1972936805

BOWDON FAMILY MEDICINE LLC is a healthcare provider. based in Bowdon, Georgia. specializing in Family Medicine Physician. The organization holds a License No. RN 141751 (GA). The NPI Number for BOWDON FAMILY MEDICINE LLC is 1972936805

Main info

Organization
Name
BOWDON FAMILY MEDICINE LLC
NPI
1972936805
Phone
(770) 328-2006
Address
307 W COLLEGE ST
Authorized Official
MR. ROBERT C SALTER NURSE PRACTITIONER MSN,CRNP
Enumeration Date
14 August 2013
Last Update Date
14 August 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for BOWDON FAMILY MEDICINE LLC

  • 307 W COLLEGE ST

    BOWDON, GA 301081309

    Phone: (770) 328-2006

    Mailing address matches the actual address.

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: 2013-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (346 days ago).

Enrollment records

1

Earliest due date

2025-06-30

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
O20131106001556OClinic/Group PracticeGA2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30108)

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Reviews

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Frequently asked questions

What NPI should I save for BOWDON FAMILY MEDICINE LLC?
Save NPI 1972936805 if you need a stable reference for BOWDON FAMILY MEDICINE LLC.
Is BOWDON FAMILY MEDICINE LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BOWDON FAMILY MEDICINE LLC treat or focus on?
Patients typically see BOWDON FAMILY MEDICINE LLC under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BOWDON FAMILY MEDICINE LLC?
We surface Bowdon, Georgia for BOWDON FAMILY MEDICINE LLC based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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