AMANDA BRITTANY FOWLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629457627

AMANDA BRITTANY FOWLER (CRNA) is a healthcare provider. based in Newnan, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN204065 (GA). The NPI Number for AMANDA BRITTANY FOWLER (CRNA) is 1629457627

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BRITTANY FOWLER (CRNA)
NPI
1629457627
Phone
(770) 251-2060
Address
PO BOX 73709
Enumeration Date
22 May 2015
Last Update Date
1 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8002086014
Graduation Year
2015 (11 years ago)
PAC ID
7113231226
Group Practice PAC ID
3072757079
Professional Enrollment ID
I20150803002751
Address ID
GA300464317LA763XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,718 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for AMANDA BRITTANY FOWLER (CRNA)

  • PO BOX 73709

    NEWNAN, GA 302713709

    Phone: (770) 251-2060

    Fax: (678) 854-9235

    Type: Mailing

  • 80 NEWNAN STATION DRIVE, SUITE A

    NEWNAN, GA 30265

    Phone: (770) 251-2060

    Fax: (678) 854-9235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150803002751ICertified Registered Nurse Anesthetist (Crna)GATBD
I20250506002293ICertified Registered Nurse Anesthetist (Crna)COTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30271)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072757079View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NJ
-GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do payers reference AMANDA BRITTANY FOWLER (CRNA)?
For AMANDA BRITTANY FOWLER (CRNA), use NPI 1629457627 as the unique 10-digit identifier.
Is AMANDA BRITTANY FOWLER (CRNA) still an active registrant?
AMANDA BRITTANY FOWLER (CRNA) carries an active NPI according to the public dataset.
How would a patient describe AMANDA BRITTANY FOWLER (CRNA)'s focus?
For AMANDA BRITTANY FOWLER (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA BRITTANY FOWLER (CRNA)?
Travel planning: use Newnan, Georgia as the reference point for AMANDA BRITTANY FOWLER (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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