Individual provider Active NPI

Robin J. Fowler, MD

  • Interventional Pain Medicine Physician
  • Conyers, GA
National Provider Identifier
1235185141
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
052931 Issued in GA
Practice address
1388 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872
Phone
(770) 929-9033
Fax
(770) 929-9092
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 052931 GA Primary

Addresses

Primary practice location

1388 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872

Mailing address

1388 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872
Phone (770) 929-9033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000690 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 5092742775 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

Practice addresses (Care Compare)

134 Riverstone Ter
Canton, GA 30114-1706
Phone (770) 929-9033

1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033

1975 Hwy 54 W
Peachtree City, GA 30269-4794
Phone (770) 929-9033

812 S Park St
Carrollton, GA 30117-4412
Phone (770) 929-9033

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052931GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cpmsc Canton, LLC CurrentSince Feb 27, 2015 Accepting new patients
The Interventional Spine and Pain Management Center PC Interventional Pain Medicine CurrentSince Aug 1, 2006 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Aug 21, 2014 Accepting new patients
CPM Surgery Center 2, LLC CurrentSince Aug 25, 2014 Accepting new patients
CPM Surgery Center 3, LLC CurrentSince Aug 25, 2014 Accepting new patients
Alliance Surgery Center at Woodstock, LLC CurrentSince Oct 26, 2019 Accepting new patients
CPM Surgery Center LLC CurrentSince Aug 21, 2014 Accepting new patients
Cpmsc Gwinnett, LLC CurrentSince Aug 25, 2014 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Jan 13, 2007 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Cpmsc Roswell, LLC CurrentSince Aug 25, 2014 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Aug 21, 2014 Accepting new patients
Cpmsc Carrollton CurrentSince Aug 25, 2014 Accepting new patients
Interventional Spine and Pain Management Center, PC Interventional Pain Medicine PastSince Apr 6, 2021 Accepting new patients
Georgia Pain Spine Center Past Accepting new patients
Ispm ASC at Piedmont, LLC PastSince Oct 18, 2013 Accepting new patients
Laurus Surgical, L.L.C PastSince Jul 22, 2008 Accepting new patients
West Paces Ambulatory Surgical Center, LLC PastSince Oct 1, 2008 Accepting new patients
Harborside Surgery Center, LLC Past Accepting new patients
Ispm of Florida PastSince Oct 19, 2010 Accepting new patients

Locations (25 of 52)

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

2061 Peachtree Rd NE
Ste 225
Atlanta, GA 30309
Phone (404) 554-0633

3885 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 349-0496

2061 Peachtree Rd NE
Ste 200
Atlanta, GA 30309
Phone (404) 345-6056

3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331
Phone (404) 344-6575

2061 Peachtree Rd NE
Atlanta, GA 30309
Phone (404) 352-3522

3152 Perimeter Pkwy
Ste 1
Augusta, GA 30909

3152 Perimeter Pkwy
Augusta, GA 30909

1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3870 Medical Park Dr
Ste 110
Austell, GA 30106
Phone (404) 920-4972

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3925 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 355-1285

134 Riverstone Ter
Ste 102
Canton, GA 30114

134 Riverstone Ter
Canton, GA 30114

812 S Park St
Ste 5B
Carrollton, GA 30117

812 S Park St
Carrollton, GA 30117
Phone (770) 834-7436

812 S Park St
Ste 1
Carrollton, GA 30117
Phone (678) 390-6110

812 S Park St
Ste 5A
Carrollton, GA 30117
Phone (770) 834-9050

15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078

15 Medical Dr NE
Ste 302
Cartersville, GA 30121
Phone (678) 337-3163

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

1388A Wellbrook Cir NE
Conyers, GA 30012

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1235185141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIR NE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIR NE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ROBIN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "052931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.