Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody James Fowler, AGACNP-BC, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1932905122

Cody James Fowler, AGACNP-BC, CRNP is a Nurse Practitioner in Mobile, Alabama. Qualified in 2024, 2 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2025
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone: (251) 435-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2024105734 (AL)

Record details

NPI number1932905122
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC , CRNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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