Alicia Faye Fowler, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

04822 Issued in TX

Practice address

505 Lipscomb St
Bonham, TX 75418-4027

Phone

(903) 640-4809

Fax

(903) 640-4950

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fannin County Hospital AuthorityGroup PAC ID 6002054764, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Quest Home Health Inc Home health agency, Greenville, TX, CCN 679218
• TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
• Texoma Medical Center Hospital, Denison, TX, CCN 450324

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Fannin County Hospital Authority

  dba Red River Regional Hospital

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1851408561
  Medicare reassignment Care Compare group
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment
• Fannin County Hospital Authority

  dba Avir at Athens

  • Skilled Nursing Facility
  • Athens, TX
  • NPI 1447244116
  NPD (past)
• Fighting Warrior Inpatient Services

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1336401884
  NPD (past)
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)
• Primamed Physicians PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fannin County Hospital Authority

  dba dba TMC Bonham Hospital

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1760417646
  Care Compare affiliation
• Health Quest Home Health, Inc.

  • Home Health Agency
  • Greenville, TX
  • NPI 1922175298
  Care Compare affiliation
• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457553877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LIPSCOMB ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184027",
            "telephone_number": "903-640-4809",
            "fax_number": "903-640-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LIPSCOMB ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184027",
            "telephone_number": "903-640-4809",
            "fax_number": "903-640-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 S US Highway 75",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204584",
            "country_code": "US",
            "telephone_number": "903-416-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "ALICIA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "04822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Terkishia Faulkner, KINESIOTHERAPIST
• Patrick Stephen Tan Felicitas, M.D.
• Fighting Warrior Inpatient Services
• Sam Lawrence Finnell
• Jonathan R Fluck, PHD
• Larry Don Franklin, PA-C
• James E Froelich III, D.O.
• Amanda Fulkerson, LMSW
• Caroline Furrh, DCLS
• Thomas Garabrant

• Physician Assistant in Bonham, TX
• Providers in Bonham, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.