Active NPI
Mark W Fowler, M.D.
- Family Medicine Physician
- Union City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34403
- Practice address
- 1020 Reelfoot Ave
Union City, TN 38261-5801 - Phone
- (731) 885-5131
- Fax
- (731) 885-5335
- NPI assigned
- Jan 18, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34403 | TN | Primary |
Addresses
Primary practice location
1020 Reelfoot Ave
Union City, TN 38261-5801
Mailing address
1020 Reelfoot Ave
Union City, TN 38261-5801
Phone (731) 885-5131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3854767 | Medicaid | TN | |
| 080171892 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Old Humboldt Rd
Suite D
Jackson, TN 38305-3506
Phone (731) 256-6456
2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
397 New Byhalia Rd
Collierville, TN 38017-3705
Phone (901) 860-0536
728 W Sherrod Ave
Covington, TN 38019-3024
Phone (901) 857-2296
7860 Wolf River Blvd
Germantown, TN 38138-1712
Phone (901) 390-4300
Hospital & facility affiliations
- Gentiva
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34403 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 45 Urgent Care, P.C. | Family Medicine | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| Rebecca a. Griggs | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Arlington Family Medical and Wellness Center PC | Past | Accepting new patients | |
| Baptist Memorial Hospital-Tipton | Past | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
| Bolivar General Hospital, Inc. | Past | Accepting new patients |
Locations
149 N Star Dr
Jackson, TN 38305
Phone (731) 499-8634
2012 Greystone Sq
Jackson, TN 38305
Phone (731) 664-6998
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFJDD/Endpoint/FBFJDD
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
- Family Medicine Physician
- Jackson, TN
- NPI 1912326539
-
- Clinic/Center
- Covington, TN
- NPI 1205163417
-
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Family Medicine
-
- Family Nurse Practitioner
- Arlington, TN
- NPI 1821343393
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Bolivar, TN
- NPI 1174545446
-
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Health Service Clinic/Center
- Jackson, TN
- NPI 1528470630
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Nashville, TN
- NPI 1407807688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1144200965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615801",
"telephone_number": "731-885-5131",
"fax_number": "731-885-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 REELFOOT AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615801",
"telephone_number": "731-885-5131",
"fax_number": "731-885-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "MARK",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "34403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3854767",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080171892",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.