Shelby Lynn Fulghum

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN239035 Issued in GA

Practice address

204 N Parrish Ave
Adel, GA 31620-2327

Phone

(229) 896-5705

Fax

(229) 896-4751

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Health District

  • Public Health or Welfare Agency
  • Adel, GA
  • NPI 1578630695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1043067374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202327",
            "telephone_number": "229-896-5705",
            "fax_number": "229-896-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202327",
            "telephone_number": "229-896-5705",
            "fax_number": "229-896-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGHUM",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN239035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrell Durden
• Valorie Latrice Edwards
• Empyrean Hospice of Georgia, LLC
• Family Health Center of Adel, Inc.
• Thomas D Fausett Jr., MD
• Georgia Pines Community Service Board
• Jairaj Goberdhan, M.D.
• Ivy Lancaster Godwin, FNP
• Gold Standard Behavior Change Services
• Sara Knighton Gray, DMD

• All providers in Adel, GA
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.