Individual provider Active NPI

Amy M Fowler, MD

  • Ophthalmology Physician
  • Holly Springs, NC
National Provider Identifier
1063437580
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200200219 Issued in NC
Practice address
401 Irving Pkwy # 330
Holly Springs, NC 27540-5300
Phone
(919) 684-4224
NPI assigned
Jul 13, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200200219 NC Primary

Addresses

Primary practice location

401 Irving Pkwy # 330
Holly Springs, NC 27540-5300

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4855

Other practice location 1

101 Manning Dr
Chapel Hill, NC 27599-0001
Phone (919) 966-8596

Other identifiers 1

IdentifierTypeStateIssuer
89137YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000237 NC Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 4284613746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alamance Eye Care PAGroup PAC ID 6103722699, 12 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1016 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 228-0254

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

401 Irving Pkwy
Holly Springs, NC 27540-5301
Phone (919) 684-8111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23423SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Eye Care, PA Ophthalmology CurrentSince Jul 21, 2009 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Ophthalmology Past Accepting new patients
Alamance Eye Care, PA Ophthalmology Past Accepting new patients

Locations

1016 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 228-0254

3344 S Church St
Burlington, NC 27215
Phone (336) 395-8233

2000 Regency Pkwy
Cary, NC 27518
Phone (919) 238-0008

2000 Regency Pkwy
Ste 100
Cary, NC 27518
Phone (919) 297-0900

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

234 Crooked Creek Pkwy
Ste 100
Durham, NC 27713

2351 Erwin Rd
Durham, NC 27705
Phone (919) 282-0053

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

4709 Creekstone Dr
Ste 100
Durham, NC 27703
Phone (919) 660-5060

401 Irving Pkwy
Ste 310
Holly Springs, NC 27540
Phone (919) 385-3800

3480 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 684-4267

3480 Wake Forest Rd
Ste 300
Raleigh, NC 27609
Phone (919) 862-5380

Interoperability endpoints

  • Direct secure messaging: afowler457743@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1063437580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 IRVING PKWY # 330",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405300",
            "telephone_number": "919-684-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-8596",
            "fax_number": "919-843-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200200219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.