Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wiley Douglas Fowler III, PA-C

Individual provider Medical Physician Assistant · NPI 1780936278

Wiley Douglas Fowler III, PA-C is a Physician Assistant in Ponte Vedra, Florida. Qualified in 2012, 14 years ago. Practices with Baptist Agewell Physicians Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

98 Nocatee Village Dr
Ponte Vedra, FL 32081-6152
Phone: (904) 202-4243
Fax: (904) 390-7415
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106930 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9106930 (FL)

Record details

NPI number1780936278
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 8, 2012
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Baptist Agewell Physicians Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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 patients582
Services billed 1,351 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $536 7 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

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

  • Baptist Health Medical Center - Jacksonville Hospital · Jacksonville, FL · listed as Dastagir a Khan MD, PA
  • Baptist Medical Center Beaches Hospital · Jacksonville Beach, FL · listed as Baptist Medical Center of the Beaches, Inc
  • Baptist Home Health Care By Bayada Home health agency · Jacksonville, FL
  • Brooks Rehabilitation Home Health Home health agency · Jacksonville, FL

Colleagues at Baptist Agewell Physicians Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 21 clinicians in the practice; 12 are shown here.