MR. JAMES EVANS FULLER (NPI# 1497776132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497776132 |
| Entity Type | Individual |
| Full Name | MR. JAMES EVANS FULLER |
| Credential | PA-C |
| Practice Address |
2107 N Decatur Rd #166 Decatur GA 30033-5305 |
| Mailing Address |
2107 North Decatur Rd. #166 Decatur GA 30033 |
| Practice Telephone | 4043216111 |
| Mailing Telephone | 4043216111 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001998 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075283 | James Fuller | Pathology | 310 Raleigh St, Holly Springs, NC 27540-9047 | 2018-08-31 |
| 1669813747 | James Brandon Fuller | Acupuncturist | 3205 Southgate Cir Ste 7, Sarasota, FL 34239-5514 | 2013-07-17 |
| 1598073058 | James H Fuller | Pharmacist | 2615 N 7th St, West Monroe, LA 71291-5127 | 2010-09-18 |
| 1962738690 | James David Fuller | Psychiatry & Neurology | 22 Jenkins Dr, Hillcrest Estates, Durango, CO 81301-6526 | 2009-10-31 |
| 1750564829 | James Woodrow Fuller Jr. | Social Worker | 8001 Franklin Farms Dr Rm 225, Richmond, VA 23229-5117 | 2007-12-12 |
| 1154537959 | James O. Fuller | Counselor | 718 W Spencer Ave, Marion, IN 46952-3424 | 2007-05-16 |
| 1720053101 | James H Fuller | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| 1124028634 | James C Fuller | Physical Therapist | 31200 23rd Ave South, Federal Way, WA 98003 | 2005-07-26 |
| 1588960785 | James C Fuller | Case Manager/Care Coordinator | 2201 S 17th St, Lincoln, NE 68502-3713 | 2011-02-04 |
| 1982805909 | James Leslie Fuller | Obstetrics & Gynecology | 205 S Lee St, Americus, GA 31709-3913 | 2007-05-29 |
| Street Address |
2107 N DECATUR RD #166 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072251 | Helene Mcdowell | Occupational Therapist | 2107 N Decatur Rd, Suite422, Decatur, GA 30033-5305 | 2005-06-10 |
| 1629519343 | Georgia Brain and Spine LLC | Specialist | 2107 N Decatur Rd, Unit 448, Decatur, GA 30033-5305 | 2017-03-14 |
| 1649728486 | Nurse Practitioner Now Associates | Nurse Practitioner | 2107 N Decatur Rd, Suite 120, Decatur, GA 30033-5305 | 2016-09-21 |
| 1093263071 | Jacqueline Lewis | Nurse Practitioner | 2107 N Decatur Rd, Suite 120, Decatur, GA 30033-5305 | 2016-09-19 |
| 1316369341 | Biologic Behavioral LLC | Psychiatry & Neurology | 2107 N Decatur Rd, Suite 351, Decatur, GA 30033-5305 | 2014-01-10 |
| 1770882797 | Lily Pham | Internal Medicine | 2107 N Decatur Rd, Suite 328, Decatur, GA 30033-5305 | 2011-03-16 |
| 1477765790 | Lily Lan-nhu Pham | Internal Medicine | 2107 N Decatur Rd, Suite 328, Decatur, GA 30033-5305 | 2007-05-07 |
| 1710982277 | Sarah L Hosford | Obstetrics & Gynecology | 2107 N Decatur Rd, Ste 471, Decatur, GA 30033-5305 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1073904181 | Nathan Potter | Physician Assistant | 798 Larry Ln, Decatur, GA 30033-4817 | 2015-02-11 |
| 1932467479 | Shannon L Hill | Physician Assistant | 1074 Ashbury Dr, Decatur, GA 30030-4165 | 2012-05-02 |
| 1578754792 | John Cicero Crawford II | Physician Assistant | 3941 John Hopkins Ct, Decatur, GA 30034-5709 | 2007-08-05 |
| 1437299773 | Barbar A Young | Physician Assistant | 3290 Memorial Dr Ste B3, Decatur, GA 30032-3400 | 2007-02-07 |
| 1992842595 | Veronica G Dockery | Physician Assistant | 346 N. Main St, Decatur, AR 72722-0735 | 2007-01-31 |
| 1649344938 | Telicia Dequai Scott | Physician Assistant | 4153b Flat Shoals Pkwy Ste 200, Decatur, GA 30034-4189 | 2006-11-20 |
| 1699773234 | Joanne Gilby Beer | Physician Assistant | 3292 Mountain Dr Ste A, Decatur, GA 30032-1102 | 2005-07-08 |
| 1871063263 | Paige Birge | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2018-11-28 |
| Find all providers in DECATUR | ||||
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| 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.