Jimmy Dean Fowler Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16124 Issued in SC

Practice address

219 N Duncan Byp
Union, SC 29379-2667

Phone

(864) 429-5404

Fax

(864) 429-5402

NPI assigned

Jan 12, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871572495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293790606",
            "telephone_number": "864-429-5404",
            "fax_number": "864-429-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792667",
            "telephone_number": "864-429-5404",
            "fax_number": "864-429-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JIMMY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161247",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tykasia Favors
• Lisa Correll Fisher, FNP
• Maisie Fisher, PA-C
• Matthew John Flood, M.D.
• Foster Orthodontics
• Tina M Fowler, APRN
• Barbara E Franks, MS
• Mark Timothy Freeman Sr., DC
• Laronda Frye, MA
• Crystal Gaffney

• Family Medicine Physician in Union, SC
• Providers in Union, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.