Individual provider Active NPI

Robb L Fulton, D.O.

  • Family Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1043282858
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
073325 Issued in GA
Practice address
207 Green St
Warner Robins, GA 31093-2727
Phone
(478) 787-4266
Fax
(478) 787-4199
NPI assigned
Feb 6, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110203 MO
Family Medicine Physician 207Q00000X 073325 GA Primary

Addresses

Primary practice location

207 Green St
Warner Robins, GA 31093-2727

Mailing address

207 Green St
Warner Robins, GA 31093-2727
Phone (478) 787-4266

Other identifiers 1

IdentifierTypeStateIssuer
248272437MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721001929 GA Practitioner - Family Practice 8426944315

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Primary Care, Inc.Group PAC ID 6103907316, 10 clinicians

Practice addresses (Care Compare)

171 Emery Hwy
Macon, GA 31217-3666
Phone 4787874266229

207 Green St
Warner Robins, GA 31093-2727
Phone 4787874266229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
073325GAMDFamily Medicine Physician
110203MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Primary Care, Inc CurrentSince Oct 3, 2017 Accepting new patients
First Choice Primary Care, Inc. Past Accepting new patients
First Choice Primary Care, Inc. Past Accepting new patients
North Springfield Family Medical Walk in Clinics Inc PastSince Dec 31, 2012 Accepting new patients

Locations

400 Poplar St
Macon, GA 31201
Phone (478) 309-1744

770 Walnut St
Macon, GA 31201
Phone (478) 755-1110

207 Green St
Warner Robins, GA 31093
Phone 4787874266229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25178/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robb.fulton@fcpc.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1043282858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932727",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GREEN ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932727",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ROBB",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "110203",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "073325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248272437",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.