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

Mr. Timothy Dale Fowler Jr., PA

Individual provider Physician Assistant · NPI 1073532404

Mr. Timothy Dale Fowler Jr., PA is a Physician Assistant in Orlando, Florida. Qualified in 2000, 26 years ago. Practices with North Walton Rural Hospital LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 543-5732
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 209 N Cuthbert St, Colquitt, GA 39837-3518 — (229) 758-4864

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003482 (GA)

Record details

NPI number1073532404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Walton Rural Hospital Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orlando