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

Lane Andrew Fowler, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699129288

Lane Andrew Fowler, MD is a Neurology in Canton, Georgia. Qualified in 2016, 10 years ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
Specialties on file
2
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

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 00000 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699129288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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