Individual provider Active NPI

Teresa Fowler, MD

  • Ophthalmology Physician
  • West Columbia, SC
National Provider Identifier
1497301873
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
91782 Issued in SC
Practice address
124 Sunset CT
West Columbia, SC 29169-2429
Phone
(803) 744-0155
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 91782 SC Primary

Addresses

Primary practice location

124 Sunset CT
West Columbia, SC 29169-2429

Mailing address

1120 15TH St # Ba2720
Augusta, GA 30912-5704
Phone (706) 721-1160

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417000562 SC Practitioner - Ophthalmology 6901229244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Retina Center LLCGroup PAC ID 4486741980, 13 clinicians

Practice addresses (Care Compare)

124 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 744-0156

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11874GAMDPharmacist
91782SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Retina Center LLC Ophthalmology CurrentSince Jun 3, 2024 Accepting new patients
Carolina Retina Center P.a. Ophthalmology Current Accepting new patients
Aiken Ophthalmology PC Past Accepting new patients

Locations

2611 Forest Dr
Ste 110
Columbia, SC 29204

124 Sunset Ct
West Columbia, SC 29169
Phone (803) 744-0155

Interoperability endpoints

  • Direct secure messaging: tfowler@carolinaretinacenter.intellechartdirect.net
  • Direct secure messaging: teresa.fowler.p1@direct.palmettoretina.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 5

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1497301873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BA2720",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309125704",
            "telephone_number": "706-721-1160",
            "fax_number": "706-721-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-744-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "91782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.