Individual provider Active NPI

Tina M Fowler, APRN

  • Nurse Practitioner
  • Union, SC
National Provider Identifier
1326479296
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN-TP 18609 Issued in SC
Practice address
128 Medical Sciences Dr
Union, SC 29379-8609
Phone
(864) 441-0802
Fax
(864) 441-0801
NPI assigned
Dec 3, 2013
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN-TP 18609 SC Primary

Addresses

Primary practice location

128 Medical Sciences Dr
Union, SC 29379-8609

Mailing address

128 Medical Sciences Dr
Union, SC 29379-8609
Phone (864) 441-0802

Other identifiers 1

IdentifierTypeStateIssuer
GP8444MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509001125 SC Practitioner - Nurse Practitioner 3971736349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

327 W S St
Union, SC 29379-2838
Phone (864) 441-0802

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN-TP 18609SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Union PC CurrentSince Jul 15, 2018 Accepting new patients

Locations

151 Harold Fleming Ct
Spartanburg, SC 29303
Phone 8645736320219

1005 Thompson Blvd
Union, SC 29379
Phone (864) 427-0278

1005 Thompson Blvd
#A
Union, SC 29379
Phone (864) 427-0278

128 Medical Sciences Dr
Union, SC 29379
Phone (864) 427-4200

327 W South St
Union, SC 29379
Phone (864) 429-0115

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Primary Care of Union PCUnion, SC, CCN 873802 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Operational/Managerial Control (100%)
May 14, 2018
Aug 6, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 6

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1326479296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MEDICAL SCIENCES DR",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798609",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEDICAL SCIENCES DR",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293798609",
            "telephone_number": "864-441-0802",
            "fax_number": "864-441-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN-TP 18609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8444",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.