Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Timothy Dale Fowler Jr., PA

Individual provider Physician Assistant · NPI 1073532404

Mr. Timothy Dale Fowler Jr., PA is a Physician Assistant in Orlando, Florida. Qualified in 2000, 26 years ago. Practices with North Walton Rural Hospital LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 543-5732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 209 N Cuthbert St, Colquitt, GA 39837-3518 — (229) 758-4864

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003482 (GA)

Record details

NPI number1073532404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Walton Rural Hospital Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients59
Services billed 64 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at North Walton Rural Hospital LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 5 are shown here.

Other providers in Orlando