Active NPI
William Edward Fowler, MD
- Family Medicine Physician
- Hodges, SC
National Provider Identifier
1003800426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15728
- Practice address
- 3410 Cokesbury Rd
Hodges, SC 29653 - Phone
- (864) 227-2099
- Fax
- (864) 227-1779
- NPI assigned
- Aug 31, 2005
- Last updated
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15728 | SC | Primary |
Addresses
Primary practice location
3410 Cokesbury Rd
Hodges, SC 29653
Mailing address
105 Vine Crest Court
Suite 700
Greenwood, SC 29646
Phone (864) 943-4859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L11299 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Health Group LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenwood, SC
- NPI 1275597585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1003800426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 VINE CREST COURT",
"address_2": "SUITE 700",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29646",
"telephone_number": "864-943-4859",
"fax_number": "864-943-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 COKESBURY RD",
"city": "HODGES",
"state": "SC",
"postal_code": "29653",
"telephone_number": "864-227-2099",
"fax_number": "864-227-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "15728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L11299",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hodges, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.