NPIMap

Individual provider Active NPI

Gary Matthew Fowler, MD

  • Family Medicine Physician
  • Winfield, AL
National Provider Identifier
1073503405
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18265 Issued in AL
Practice address
191 Caraway Dr
Suite a
Winfield, AL 35594-5067
Phone
(205) 487-1586
Fax
(205) 487-1589
NPI assigned
Oct 26, 2005
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18265 AL Primary

Addresses

Primary practice location

191 Caraway Dr
Suite a
Winfield, AL 35594-5067

Mailing address

191 Caraway Dr
Suite a
Winfield, AL 35594-5067
Phone (205) 487-1586

Other identifiers 1

IdentifierTypeStateIssuer
000046678MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000378 AL Practitioner - Family Practice 2668448127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winfield Family and Occupational Med PCGroup PAC ID 7416966452, 2 clinicians

Practice addresses (Care Compare)

191 Caraway Dr
Suite a
Winfield, AL 35594-5067

191 Carraway Dr
Suite a
Winfield, AL 35594-5074
Phone (205) 487-1586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
84.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18265ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gary.fowler@winfom.direct.medconnect-inc.com

Organizations & group practices 2

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 12

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1073503405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 CARAWAY DR",
            "address_2": "SUITE A",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945067",
            "telephone_number": "205-487-1586",
            "fax_number": "205-487-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CARAWAY DR",
            "address_2": "SUITE A",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945067",
            "telephone_number": "205-487-1586",
            "fax_number": "205-487-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "GARY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046678",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.