JAMES FULLER (NPI# 1871075283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871075283 |
| Entity Type | Individual |
| Full Name | JAMES FULLER |
| Credential | PHD, DABCC |
| Practice Address |
310 Raleigh St Holly Springs NC 27540-9047 |
| Mailing Address |
314 Seymour Pl Cary NC 27519-6459 |
| Practice Telephone | 9192748660 |
| Mailing Telephone | 9192748660 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1740490564 | James Jeffery Fuller | Respiratory Therapist, Registered | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 | 2007-05-23 |
| Street Address |
310 RALEIGH ST |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540-9047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764949 | Albermarle Laboratory | Pathology | 110 Medical Dr Ste 1, Elizabeth City, NC 27909-3374 | 2017-11-21 |
| 1366789513 | Jessica Karen Booker | Pathology | 301 Brinkhous Bullitt Building, Chapel Hill, NC 27599-7525 | 2013-01-08 |
| 1881739381 | Thomas J. Monroe | Pathology | 7010 Kit Creek Rd., Morrisville, NC 27560 | 2007-02-21 |
| 1831729177 | Kristen Leigh Smith | Pathology | 1447 York Ct, Burlington, NC 27215-3361 | 2020-01-24 |
| 1801432117 | Ntei Abudu | Pathology | 1904 Tw Alexander Dr, Durham, NC 27709-0153 | 2019-11-21 |
| 1780116178 | Andrea Penton | Pathology | 101 Manning Dr, #1072 East Wing, Chapel Hill, NC 27514-4220 | 2017-04-03 |
| 1013462399 | Gregory Mcintire | Pathology | 486 Gallimore Dairy Rd, Greensboro, NC 27409-9725 | 2016-08-17 |
| 1114319787 | John Fisher IIi | Pathology | 3 Mcdowell St, Asheville, NC 28801-4103 | 2015-02-19 |
| 1215334669 | Zengliu Su | Pathology | 486 Gallimore Dairy Rd, Greensboro, NC 27409-9725 | 2014-12-01 |
| 1689911380 | John Schmitz | Pathology | 101 Manning Dr, Rm. 1035 East Wing Unc Hospitals, Chapel Hill, NC 27514-4220 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
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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.