P Praxis·MD
● Active Type 1 · Individual

DR. Diane Gwyn Bowen, M.D.

Surgery·Saint Simons Island, GA· NPI 1215950431 · Enumerated 2006 · 19 years on NPI
Bowen is 1 of 1 surgery providers in Saint Simons Island and 1 of 127 in Georgia.
NPI age
19 years
Enumerated 2006-07-26
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 127 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1015 Arthur J Moore Dr
Saint Simons Island, GA 315222206
📞 9126341993fax 9126341166
Mailing address
1015 Arthur J Moore Dr
Saint Simons Island, GA 315222206
📞 9126341993

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #31386 taxonomy 2086S0122X

Identifiers

TypeValueNotes
01 (GA) 11340888 CAQH NUMBER

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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