Individual provider Active NPI

Jeffrey Adam Fowler, DC

  • Chiropractor
  • Inverness, FL
National Provider Identifier
1144333931
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8687 Issued in FL
Practice address
108 W Highland Blvd
Inverness, FL 34452-4819
Phone
(352) 344-1300
Fax
(352) 341-4500
NPI assigned
Aug 16, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8687 FL Primary

Addresses

Primary practice location

108 W Highland Blvd
Inverness, FL 34452-4819

Mailing address

108 W Highland Blvd
Inverness, FL 34452-4819
Phone (352) 344-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000695 FL Practitioner - Chiropractic 1052417920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Citrus Regional Clinic of Chiropractic, PAGroup PAC ID 4789869090, 2 clinicians

Practice addresses (Care Compare)

151 E Highland Blvd
Suite 151
Inverness, FL 34452-4846
Phone (352) 344-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8687FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Regional Clinic of Chiropractic, PA Chiropractor CurrentSince Mar 1, 2011 Accepting new patients
G Stanford Pierce DC PA Chiropractor PastSince Apr 21, 2014 Accepting new patients

Locations

108 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-1300

151 E Highland Blvd
Ste 151
Inverness, FL 34452
Phone (352) 344-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1144333931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524819",
            "telephone_number": "352-344-1300",
            "fax_number": "352-341-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524819",
            "telephone_number": "352-344-1300",
            "fax_number": "352-341-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JEFFREY",
        "middle_name": "ADAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.