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JACOB GREGORY FOWLER
NPI 1336942788
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 31, 2025PECOS Enrolled
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 19, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Jacob Gregory Fowler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GREGORY FOWLER (NPI 1336942788) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336942788
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB GREGORY FOWLER
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1336942788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MEDICAL CENTER BLVD, Winston Salem, NC 27157
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Gregory Fowler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fowler's NPI number?

The NPI number for Jacob Fowler is 1336942788. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jacob Fowler located?

Jacob Fowler practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Jacob Fowler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Fowler enrolled in Medicare?

Yes. Jacob Fowler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Fowler was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.