Wiley Douglas Fowler III, PA-C
Wiley Douglas Fowler III, PA-C is a Physician Assistant in Ponte Vedra, Florida. Qualified in 2012, 14 years ago. Practices with Baptist Agewell Physicians Inc, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.
- Years since qualifying
- 14
- Licensed in
- FL
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
98 Nocatee Village DrPonte Vedra, FL 32081-6152
Phone: (904) 202-4243
Fax: (904) 390-7415
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9106930 (FL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA9106930 (FL) |
Record details
| NPI number | 1780936278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2012 |
| Last updated in NPPES | December 16, 2025 |
| Certification date | December 16, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Baptist Agewell Physicians Inc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |