Individual provider · Type 1 NPI
Wiley Douglas Fowler Iii, PA-C
Physician Assistant · Ponte Vedra, FL
Practice location
98 Nocatee Village Dr
Ponte Vedra, FL 32081-6152
Fax (904) 390-7415
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106930 (FL) |
| Physician Assistant Primary | 363A00000X | PA9106930 (FL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
8 other providers at this address
- Baptist Agewell Physicians IncGeriatric Medicine (Family Medicine) Physician Ponte Vedra, FL NPI 1679240337
- Anjali Gupta, MDInternal Medicine Physician Ponte Vedra, FL NPI 1922265123
- Chelsea M. Brouillet, DNP, FNP-BCNurse Practitioner Ponte Vedra, FL NPI 1023736196
- Gerardo Baldassarri, MDFamily Medicine Physician Ponte Vedra, FL NPI 1275504581
- Kayla G. Jones, M.S., CCC-SLPSpeech-Language Pathologist Ponte Vedra, FL NPI 1508249871
- Kristen Kelley, PSYDClinical Psychologist Ponte Vedra Beach, FL NPI 1154483956
- Nicole Lee Winter, PSY.D.Clinical Psychologist Ponte Vedra Beach, FL NPI 1578007118
- Olivia A. Raines, LCSWClinical Social Worker Ponte Vedra Beach, FL NPI 1932956760
Other physician assistant providers in Ponte Vedra
About NPI 1780936278
Wiley Douglas Fowler Iii, PA-C's National Provider Identifier is 1780936278, issued on Oct 8, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Dec 16, 2025.