DR. KIMBERLYN DARLENE FOWLER DDS
NPI 1407984412
Dentist - General Practice in Conyers, GA

Q: What is Kimberlyn Fowler's NPI number?

The NPI number for Kimberlyn Fowler is 1407984412. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Kimberlyn Fowler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kimberlyn Fowler was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 01, 2007PECOS Enrolled

2040 EAGLE RIDGE DR SW, CONYERS, GA 30094(470) 328-2579 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jun 26, 2021, Aug 8, 2018 (3 updates tracked since 2018).

On this page

About Dr. Kimberlyn Darlene Fowler Dds NPPES

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

DR. KIMBERLYN DARLENE FOWLER DDS (NPI 1407984412) is an individual general practice provider in Conyers, Georgia, licensed in Georgia (DN012322) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1407984412

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KIMBERLYN DARLENE FOWLERCredential: DDS

Location Address2040 EAGLE RIDGE DR SWConyers, GA 30094-3377

Mailing Address2040 Eagle Ridge Dr SwConyers, GA 30094-3377 · (470) 488-7092 · Fax (470) 489-7092

Phone(470) 328-2579

Sole ProprietorYes

Enumeration DateMarch 1, 2007

Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1407984412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN012322

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2040 EAGLE RIDGE DR SW, Conyers, GA 30094

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Secondary Practice Location 1

Location 13539 Wesley Chapel RdDecatur, GA 30034-5216 · Phone (770) 987-1586

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberlyn Darlene Fowler Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimberlyn Fowler's NPI number?

The NPI number for Kimberlyn Fowler is 1407984412. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Kimberlyn Fowler located?

Kimberlyn Fowler practices at 2040 Eagle Ridge Dr SW, Conyers, GA 30094. The listed phone number is (470) 328-2579.

What is Kimberlyn Fowler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kimberlyn Fowler enrolled in Medicare?

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

What insurance does Kimberlyn Fowler accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Kimberlyn Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberlyn Fowler was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.