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MANDI C FOWLER PA-C
NPI 1891782900
Physician Assistant - Medical in Marietta, GA

Active since October 04, 2005PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(470) 793-6120(770) 999-2647 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Feb 7, 2017 (2 updates tracked since 2017).

About Mandi C Fowler Pa-c NPPES

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

MANDI C FOWLER PA-C (NPI 1891782900) is an individual medical provider in Marietta, Georgia, licensed in Georgia (3873) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carrollton.

NPPES Registry Identity

NPI1891782900
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMANDI C FOWLERCredential: PA-C
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address100 Professional Pl, Suite 204Carrollton, GA 30117-3874 · (770) 834-3351 · Fax (770) 830-1518
Phone(470) 793-6120
Fax(770) 999-2647
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1891782900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 3873
677 CHURCH ST NE, Marietta, GA 30060
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Other Names 1

Former Name (1)Mandi L Czykyski Pa-c

Secondary Practice Location 1

Location 1100 Professional Pl, Suite 204Carrollton, GA 30117-3874 · Phone (770) 834-3351 · Fax (770) 830-1518

Other Identifiers 6

Medicaid875872035BGA
Medicaid875872035FGA
Medicaid647119263AGA
Medicaid875872035CGA
Medicaid875872035EGA
Medicaid875872035DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Mandi C Fowler Pa-c 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.

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
JULIA PATRICIA KENDRICK
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000

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 Mandi Fowler's NPI number?

The NPI number for Mandi Fowler is 1891782900. It was assigned to this individual provider in the NPPES registry on October 4, 2005. The provider is also known as Mandi L Czykyski Pa-C.

Where is Mandi Fowler located?

Mandi Fowler practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (470) 793-6120.

What is Mandi Fowler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mandi Fowler enrolled in Medicare?

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

What insurance does Mandi Fowler accept?

Health plans from Alliant Health Plans, Inc. list Mandi 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 Mandi Fowler was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.