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

Dr. Robert Douglas Fowler, MD

Individual provider Otolaryngology Physician · NPI 1770677502

Dr. Robert Douglas Fowler, MD is an Otolaryngology in Jackson, Tennessee. Qualified in 1995, 31 years ago. Practices with Wayne Sjc Medical Group LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
31
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

145 Innovation Dr
Jackson, TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 422-0297
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 63528 (TN)

Record details

NPI number1770677502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Wayne Sjc Medical Group Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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