P Praxis·MD
● Active Type 1 · Individual

Tiffany D Bowerman, PA-C

Physician Assistant·Rome, GA· NPI 1306854005 · Enumerated 2006 · 19 years on NPI
Bowerman is 1 of 5 physician assistant providers in Rome and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2006-08-04
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Three Rivers Dr Ne
Rome, GA 301614999
📞 7062920040fax 7063780556
Mailing address
100 Three Rivers Dr Ne
Rome, GA 301614999
📞 7062920040fax 7063780556

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004084 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (GA) 480481221C
05 (GA) 480481221D
05 (GA) 480481221A

Practice context

Part of a multi-provider practice. 15 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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