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

Cory Fowler, PA

Individual provider Physician Assistant · NPI 1629520333

Cory Fowler, PA is a Physician Assistant in Pensacola, Florida. Qualified in 2016, 10 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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

4551-A N Davis Hwy
Pensacola, FL 32503-2782
Phone: (850) 494-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109910 (FL)

Record details

NPI number1629520333
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 28, 2016
Last updated in NPPESOctober 28, 2016
Mailing addressPo Box 2699, Pensacola, FL 32513-2699

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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