Active NPI
David H Fowler, CNS/PMH
- Psychiatric/Mental Health Clinical Nurse Specialist
- Rome, GA
National Provider Identifier
1063749588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN050746
- Practice address
- 306 Shorter Ave
Rome, GA 30165 - Phone
- (706) 509-3559
- Fax
- (706) 802-2869
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN050746 | GA | Primary |
Addresses
Primary practice location
306 Shorter Ave
Rome, GA 30165
Mailing address
PO Box 1882
Rome, GA 30162
Phone (706) 509-3000
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN050746 | GA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Physicians, LLC | 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.
-
dba Atrium Health Floyd Specialty Care
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1063749588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1882",
"city": "ROME",
"state": "GA",
"postal_code": "30162",
"telephone_number": "706-509-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SHORTER AVE",
"city": "ROME",
"state": "GA",
"postal_code": "30165",
"telephone_number": "706-509-3559",
"fax_number": "706-802-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "CNS/PMH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "GA",
"license": "RN050746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
- Forum Group @ Mt. Berry Nursing & Rehabilitation Center, LLC
- Forum Group at Moran Lake Nursing & Rehabilitation Center, LLC
- Quanecia N Foster
- Foundations Orthodontics LLC
- Four-Sixty Inc (A Brighter Today)
- Bridget Marie Francisco
- Charlene Franklin, PT
- Stephanie Franklin
- Susan Bailey Franklin
- Marie Fraser
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.