Reginald S Fowler (NPI# 1144391715, PAC ID# 5294815304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144391715 |
| PAC ID by PECOS | 5294815304 |
| Professional Enrollment ID | I20080604000319 |
| Full Name | Reginald S Fowler |
| Organization Legal Name | MDVIP MEDICAL GROUP GA-ATL |
| Address |
232 19th St Nw Suite 7225 Atlanta GA 30363-1130 |
| Phone Number | 6787048000 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597021386 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110083 | PIEDMONT HOSPITAL |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 232 19th St Nw, Suite 7225, Atlanta, GA 30363-1130 | 6787048000 | MDVIP MEDICAL GROUP GA-ATL |
| Organization Legal Name | MDVIP MEDICAL GROUP GA-ATL |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooks S Lide,iii | Internal Medicine | Mdvip Medical Group Ga-atl | 1800 Howell Mill Rd Nw, Suite 650, Atlanta, GA 30318-0920 |
| Carol Aitcheson | Internal Medicine | Mdvip Medical Group Ga-atl | 105 Collier Rd Nw, Suite 3060, Atlanta, GA 30309-1710 |
| Adrian C Douglass | Internal Medicine | Mdvip Medical Group Ga-atl | 105 Collier Rd Nw, Suite 3060, Atlanta, GA 30309-1710 |
| Karl Dannehl | Internal Medicine | Mdvip Medical Group Ga-atl | 1800 Howell Mill Rd Nw, Suite 650, Atlanta, GA 30318-0920 |
| Wyman P Sloan Iii | Internal Medicine | Mdvip Medical Group Ga-atl | 1800 Howell Mill Rd Nw, Suite 650, Atlanta, GA 30318-0920 |
| Sheppard Dunlevie | Internal Medicine | Mdvip Medical Group Ga-atl | 1800 Howell Mill Rd Nw, Suite 650, Atlanta, GA 30318-0920 |
| Street Address |
232 19TH ST NW SUITE 7225 |
| City | ATLANTA |
| State | GA |
| Zip | 30363-1130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan David Perry | Family Medicine | Piedmont Medical Care Corporation | 232 19th St Nw, Atlanta, GA 30363-1130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sumayah Taliaferro | Dermatology | 232 19th Nwst, Suite 7230, Atlanta, GA 30363-1131 | |
| Mary Jansson Carmon | Nurse Practitioner | Atlanta Dermatology and Aesthetics, PC | 232 19th Nwst, Atlanta, GA 30363-1131 |
| Arthur M James | Thoracic Surgery | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Fatisha Enahora E Gayton | Emergency Medicine | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Kristin Alexis Bourg | Physician Assistant | Georgia Interventional and Vascular Specialists, PC | 264 19th St Nw, Suite 2240, Atlanta, GA 30363-1139 |
| Kimberly M Lee-okonya | Clinical Social Worker | 201 17th St Nw, Suite 300, Atlanta, GA 30363-1191 | |
| William G Mason | Diagnostic Radiology | Radiology Physician Solutions of Georgia LLC | 270 17th St Nw, Unit 4103, Atlanta, GA 30363-1272 |
| City | ATLANTA |
| Zip Code | 30363 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATLANTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Reginald S Fowler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.