NPIMap

Individual provider Active NPI

Abby Fowler, PA

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1295270619
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109896 Issued in FL
Practice address
4929 Mobile Hwy
Pensacola, FL 32506-3229
Phone
(850) 453-3281
Fax
(850) 453-4491
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109896 FL Primary

Addresses

Primary practice location

4929 Mobile Hwy
Pensacola, FL 32506-3229

Mailing address

PO Box 2619
Pensacola, FL 32513-2699
Phone (850) 475-4500

Other practice location 1

4435 Highway 90
Pace, FL 32571-2066
Phone (850) 416-5205

Other names 1

  • Miss Abby Fowler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170503001645 FL Practitioner - Physician Assistant 2860779626 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

2569 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3043
Phone (850) 934-0932

4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109896FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Quality Urgent Care & Wellness PL CurrentSince Aug 17, 2019 Accepting new patients
Sacred Heart Health System Inc CurrentSince Apr 1, 2017 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Tri Hospital MRI Center Past Accepting new patients

Locations

514 Mary Esther Cut Off NW
Ft Walton Bch, FL 32548
Phone (850) 226-8550

2569 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 932-0440

4435 Highway 90
Pace, FL 32571
Phone (850) 304-0390

6665 Pensacola Blvd
Pensacola, FL 32505
Phone (850) 416-2000

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

4929 Mobile Hwy
Pensacola, FL 32506
Phone (850) 453-3281

Interoperability endpoints

  • Direct secure messaging: abby.wilson.2@9582.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1295270619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2619",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4500",
            "fax_number": "850-475-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063229",
            "telephone_number": "850-453-3281",
            "fax_number": "850-453-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4435 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325712066",
            "country_code": "US",
            "telephone_number": "850-416-5205",
            "fax_number": "850-416-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ABBY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "FOWLER",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.