Individual provider Active NPI

Audrey Rozeman Fuller, NP

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1104462316
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
290871 Issued in GA
Practice address
1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609
Phone
(404) 892-2131
Fax
(404) 215-9222
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 290871 GA Primary

Addresses

Primary practice location

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609

Mailing address

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609

Other practice location 1

7823 Spivey Station Blvd Ste 310
Jonesboro, GA 30236-2886
Phone (770) 996-1122

Other practice location 2

1450 Dowell Springs Blvd Ste 300
Knoxville, TN 37909-2444
Phone (865) 637-8812

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address audreyrozeman@lmg.allscriptsdirect.net Direct
Direct Messaging Address audreyrozeman@lmg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003561 TN Practitioner - Nurse Practitioner 4082040241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrinology Consultants of East TNGroup PAC ID 1951371525, 36 clinicians

Practice addresses (Care Compare)

1450 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2444
Phone (865) 637-8812

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
76.16
Promoting interoperability
88
Improvement activities
40
Cost
70.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
290871GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Endocrinology Consultants of East TN CurrentSince Apr 29, 2025 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System, Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1450 Dowell Springs Blvd
Ste 300
Knoxville, TN 37909
Phone (865) 470-9820

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

5779 Creekwood Park Blvd
Ste 215
Lenoir City, TN 37772
Phone (865) 251-4658

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1104462316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PEACHTREE ST NW STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093609",
            "telephone_number": "404-892-2131",
            "fax_number": "404-215-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7823 Spivey Station Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302362886",
            "country_code": "US",
            "telephone_number": "770-996-1122",
            "fax_number": "770-907-1429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Dowell Springs Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092444",
            "country_code": "US",
            "telephone_number": "865-637-8812",
            "fax_number": "865-637-8865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "AUDREY",
        "middle_name": "ROZEMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "290871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audreyrozeman@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1110 W Peachtree St NW Ste 1110",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303093609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audreyrozeman@lmg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "7823 Spivey Station Blvd Ste 310",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302362886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.