Dr. Jimmy Lee Gowan, M.D.
Dr. Jimmy Lee Gowan is a General Practice Physician provider (General Practice) practicing in Moore, SC, registered in the NPPES registry with NPI 1366830648 since 2015. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1366830648 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jimmy Lee Gowan |
| Credential | M.D. |
| Sex | Male |
| Practice address | Moore, SC, 29369 |
| Phone | 8644868379 |
| Enumeration date | 2015-01-08 |
| Last updated in NPPES | 2015-01-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | SC 4935 | SC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Jimmy Gowan, M.D. NPI: 1366830648 Taxonomy: 208D00000X (General Practice Physician) Address: Moore, SC, 29369
Verify this record
Cross-check NPI 1366830648 against the authoritative CMS record: view Dr. Jimmy Lee Gowan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-01-08.