Organization Active NPI

Fowler Family Medicine, PLLC

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1689344665
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOWLER FAMILY MEDICINE, PLLC
Practice address
3200 Peoples Dr Ste 210
Harrisonburg, VA 22801-7633
Phone
(540) 217-0911
Fax
(877) 758-4943
NPI assigned
Sep 20, 2021
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Rocky Fowler, MDNPI 1952568156
Title
President
Phone
(540) 271-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3200 Peoples Dr Ste 210
Harrisonburg, VA 22801-7633

Mailing address

PO Box 1307
Harrisonburg, VA 22803-1307
Phone (540) 217-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218001650 VA Part B Supplier - Clinic/Group Practice 3375937220 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisonburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2242318Fowler Family Medicine PLLC3200 Peoples Drive Suite 210, Harrisonburg, VA 22801Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

3200 Peoples Dr
Ste 210
Harrisonburg, VA 22801
Phone (540) 217-0911

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1689344665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031307",
            "telephone_number": "540-217-0911",
            "fax_number": "877-758-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PEOPLES DR STE 210",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228017633",
            "telephone_number": "540-217-0911",
            "fax_number": "877-758-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-271-0911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.