Active NPI
David F Fowler, MD
- Orthopaedic Surgery Physician
- Glenville, NC
National Provider Identifier
1083625768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 028403
- Practice address
- 1734 Cedar Creek Rd Ste 101
Glenville, NC 28736-0257 - Phone
- (404) 216-3780
- Fax
- (404) 303-8482
- NPI assigned
- Aug 10, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 028403 | GA | Primary |
Addresses
Primary practice location
1734 Cedar Creek Rd Ste 101
Glenville, NC 28736-0257
Mailing address
1734 Cedar Creek Rd Ste 101
Glenville, NC 28736-0257
Phone (404) 216-3780
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 |
|---|---|---|---|
| Capital City Orthopaedics & Sports Medicine, P.C. | 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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Atlanta, GA
- NPI 1992959118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1083625768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 CEDAR CREEK RD STE 101",
"city": "GLENVILLE",
"state": "NC",
"postal_code": "287360257",
"telephone_number": "404-216-3780",
"fax_number": "404-303-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 CEDAR CREEK RD STE 101",
"city": "GLENVILLE",
"state": "NC",
"postal_code": "287360257",
"telephone_number": "404-216-3780",
"fax_number": "404-303-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "DAVID",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "028403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.