NPIMap

Individual provider Active NPI

Amanda Horne Fowler, M.D.

  • Rheumatology Physician
  • Jackson, MS
National Provider Identifier
1215224886
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
22571 Issued in MS
Practice address
2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500
Phone
(601) 984-5601
Fax
(601) 984-6665
NPI assigned
Jul 5, 2011
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 22571 MS Primary

Addresses

Primary practice location

2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500

Mailing address

2500 N State St
Dept. of Medicine
Jackson, MS 39216-4500
Phone (601) 984-5601

Other identifiers 1

IdentifierTypeStateIssuer
00886302MedicaidMS

Other names 1

  • Amanda Marie Horne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161114001721 MS Practitioner - Rheumatology 7911286059 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Arthritis Clinic PLLCGroup PAC ID 6800971946, 8 clinicians

Practice addresses (Care Compare)

185 Medical Pkwy
Suite 201
Flowood, MS 39232-1248
Phone (601) 362-6900

971 Lakeland Dr
Suite 950
Jackson, MS 39216-4608
Phone (601) 362-6900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center CurrentSince Sep 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 29, 2016 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 29, 2016 Accepting new patients
Mississippi Arthritis Clinic PLLC Rheumatology CurrentSince Oct 1, 2016 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients

Locations

185 Medical Pkwy
Ste 201
Flowood, MS 39232
Phone (601) 362-6900

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

971 Lakeland Dr
Ste 950
Jackson, MS 39216
Phone (601) 362-6900

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2024 15th St
Fl 3
Meridian, MS 39301
Phone (601) 553-2000

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

Interoperability endpoints

  • Direct secure messaging: amanda.fowler.p1@direct.mac.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 2

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1215224886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPT. OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "DEPT. OF MEDICINE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5601",
            "fax_number": "601-984-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "AMANDA",
        "middle_name": "HORNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "22571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00886302",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HORNE",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.