Active NPI
Cecil Fuller II, CRNA
- Registered Nurse
- Madison, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-162112
- Practice address
- 315 Hospital Dr
Madison, TN 37115-5030 - Phone
- (615) 868-6503
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-162112 | AL | |
| Registered Nurse | 163W00000X | 1-162112 | AL | Primary |
Addresses
Primary practice location
315 Hospital Dr
Madison, TN 37115-5030
Mailing address
2024 Crencor Dr
Goodlettsville, TN 37072-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-162112 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vaughan Regional Anesthesia LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sylacauga Anesthesia PC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
44 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 404-5321
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Sylacauga, AL
- NPI 1700843869
-
- Anesthesiology Physician
- Selma, AL
- NPI 1639792153
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jack Hughston Memorial Hospital
- General Acute Care Hospital
- Phenix City, AL
- NPI 1023050101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1093478414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 CRENCOR DR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370724306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 HOSPITAL DR",
"city": "MADISON",
"state": "TN",
"postal_code": "371155030",
"telephone_number": "615-868-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "CECIL",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-162112",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-162112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.