Individual provider Active NPI

Tiffany Fowler, LMFT

  • Marriage & Family Therapist
  • Grovetown, GA
National Provider Identifier
1851845473
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001993 Issued in GA
Practice address
933 Branch CT # 304
Grovetown, GA 30813-3325
Phone
(706) 288-5755
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001993 GA Primary

Addresses

Primary practice location

933 Branch CT # 304
Grovetown, GA 30813-3325

Mailing address

933 Branch CT # 304
Grovetown, GA 30813-3325
Phone (706) 288-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT001993GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freelance Dreamers, LLC Marriage & Family Therapist Current Accepting new patients
Family 360 Incorporated Marriage & Family Therapist PastSince Feb 11, 2024 Accepting new patients

Locations

933 Branch Ct
Grovetown, GA 30813
Phone (706) 288-5755

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1851845473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRANCH CT # 304",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133325",
            "telephone_number": "706-288-5755",
            "fax_number": "706-925-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BRANCH CT # 304",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133325",
            "telephone_number": "706-288-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TIFFANY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.