NPI age
21 years
Enumerated 2005-10-04
● Active
Type 1 · Individual
Mandi C Fowler, PA-C
Fowler is 1 of 71 medical (physician assistant) providers in Marietta and 1 of 1,322 in Georgia.
Primary specialty
Medical (Physician Assistant)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-09-21
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1322 active medical (physician assistant) providers in Georgia.
NPI age
21 years
↑ 5 yr above median (15 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
268 Lawrence St Ne
Marietta, GA 300601617
Mailing address
268 Lawrence St Ne Ste 100
Marietta, GA 300601617
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 647119263A | |
| 05 (GA) | 875872035B | |
| 05 (GA) | 875872035E | |
| 05 (GA) | 875872035D | |
| 05 (GA) | 875872035F | |
| 05 (GA) | 875872035C |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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