MRS. ANGELA EDWARDS FULLER (NPI# 1477897924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477897924 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA EDWARDS FULLER |
| Credential | M.S., L.P.C. |
| Practice Address |
1913 Smith Ave Thomasville GA 31792-5751 |
| Practice Telephone | 2292267060 |
| Practice Fax Number | 2292267061 |
| Mailing Telephone | 2292267060 |
| Mailing Fax Number | 2292267061 |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2012-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2210 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265991764 | Angela Fuller | Nurse Practitioner | 1923 Port Royal Dr, Soddy Daisy, TN 37379-8836 | 2019-03-14 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1811395411 | Angela Fuller | Counselor | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2014-12-12 |
| 1184033722 | Angela Fuller | Nurse Practitioner | 801 N 29th St, Billings, MT 59101-0905 | 2014-08-07 |
| 1235167545 | Angela B Fuller | Physician Assistant | 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702-5619 | 2006-06-28 |
| Street Address |
1913 SMITH AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821073768 | A. Kenneth Fuller | Psychiatry & Neurology | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2005-12-14 |
| 1245558964 | Elizabeth A Nicholson | Social Worker | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2010-05-05 |
| 1992723001 | Mark C. Miller | Counselor | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1316300270 | Dustin Hart | Counselor | 120 N Crawford St, Thomasville, GA 31792-5121 | 2016-03-29 |
| 1114319886 | Stephanie Hardy | Counselor | 575 Carrington Cir, Thomasville, GA 31757-2955 | 2015-03-04 |
| 1174969687 | Mclean Cares, Inc. | Counselor | 344 E Jackson St, Thomasville, GA 31792-5168 | 2013-05-13 |
| 1780694844 | Lori L Nelson Lpc Lmhc PC | Counselor | 213 Cecil Street, Thomasville, GA 31792-5608 | 2006-08-09 |
| 1467906537 | John Widener | Counselor | 125 E Monroe St, Thomasville, GA 31792-5142 | 2016-08-06 |
| 1760834592 | Nicole Berrios | Counselor | 17 E Main St, Thomasville, NC 27360-4043 | 2016-07-05 |
| 1982034443 | Shenece Williams | Counselor | 198 S. Mcarthur Drive, Camilla, Thomasville, GA 31730-6370 | 2013-11-20 |
| 1629317128 | Carenet, Inc. | Counselor | 515 Watson Ave, Thomasville, NC 27360-4540 | 2013-02-05 |
| 1376678086 | Sarah Webb | Counselor | 515 Watson Ave, Thomasville, NC 27360-4540 | 2007-02-22 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on MRS. ANGELA EDWARDS FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.