NPI age
20 years
Enumerated 2005-10-04
● Active
Type 1 · Individual
Mandi C Fowler, PA-C
Fowler is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% 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
677 Church St Ne
Marietta, GA 300601101
Mailing address
100 Professional Pl, Suite 204
Carrollton, GA 301173874
Additional practice locations
1 secondary location on file with NPPES.
Location 2
100 Professional Pl, Suite 204
Carrollton, GA 301173874
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 875872035B | |
| 05 (GA) | 875872035F | |
| 05 (GA) | 647119263A | |
| 05 (GA) | 875872035C | |
| 05 (GA) | 875872035E | |
| 05 (GA) | 875872035D |
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.