Individual provider Active NPI

Sheila V Fulcher, ANP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1114232113
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN137639 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
Fax
(912) 354-5970
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN137639 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Other practice location 1

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Other identifiers 1

IdentifierTypeStateIssuer
380912819AMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000314 GA Practitioner - Nurse Practitioner 8921296369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Orthopaedic Associates PAGroup PAC ID 8022910306, 55 clinicians

Practice addresses (Care Compare)

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN137639GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Orthopaedic Associates, PA CurrentSince Aug 1, 2010 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Aug 1, 2010 Accepting new patients
Effingham Orthopedic Practice, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

101 Saint Josephs Candler Dr
Fl 1
Pooler, GA 31322
Phone (912) 351-6615

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: sheila.fulcher.2@18355.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1114232113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-354-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-354-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "SHEILA",
        "middle_name": "V",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN137639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380912819A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.