Organization Active NPI

Lori J. Fulton, M.D.

  • Obstetrics Physician
  • Jackson, MS
National Provider Identifier
1053486571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
LORI J. FULTON, M.D.
Practice address
1963 W McDowell Rd
Jackson, MS 39204-4217
Phone
(601) 372-3634
Fax
(601) 372-7361
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lori J. Fulton, MDNPI 1427149582
Title
Owner
Phone
(601) 372-3632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

1963 W McDowell Rd
Jackson, MS 39204-4217

Mailing address

1963 W McDowell Rd
Jackson, MS 39204-4217
Phone (601) 372-3634

National Provider Directory

National Provider Directory

Locations

971 Lakeland Dr
Ste 620
Jackson, MS 39216
Phone (601) 362-7275

1963 W McDowell Rd
Jackson, MS 39204
Phone (601) 372-3632

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053486571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 W MCDOWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044217",
            "telephone_number": "601-372-3634",
            "fax_number": "601-372-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 W MCDOWELL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044217",
            "telephone_number": "601-372-3634",
            "fax_number": "601-372-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI J. FULTON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-372-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.