Todd L Fulcher, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12503 Issued in MS

Practice address

Manhattan Nursing and Rehabilitation Center
4540 Manhattan Rd
Jackson, MS 39206

Phone

(601) 206-0901

Fax

(888) 240-6288

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

University of Mississippi School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Medserve, PAGroup PAC ID 8628253978, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
• Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
• Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
• Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
• Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
• Pax Hospice Hospice, Ridgeland, MS, CCN 251574
• Quality Hospice Care, Inc Hospice, Philadelphia, MS, CCN 251580
• Community Hospice Hospice, Tupelo, MS, CCN 251595
• Adoration Home Health and Hospice Care Mississippi Hospice, Yazoo City, MS, CCN 251602
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
• Holmes County Hospital and Clinics Hospital, Lexington, MS, CCN 251319
• Mississippi Methodist Rehab Ctr Hospital, Jackson, MS, CCN 250152
• Progressive Health Group of Houston Hospital, Houston, MS, CCN 250785
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• The Madison Health and Rehab Nursing home, Madison, MS, CCN 255276
• Edgewood Health & Rehabilitation Nursing home, Byram, MS, CCN 255103
• Trend Health & Rehab of Meridian LLC Nursing home, Meridian, MS, CCN 255348
• Clinton Healthcare LLC - SNF Nursing home, Clinton, MS, CCN 255282
• North Pointe Health & Rehabilitation Nursing home, Meridian, MS, CCN 255340

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

67.75

Promoting interoperability

100

Improvement activities

40

Cost

71.17

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 3716 Highway 39 North Opco LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1306654355

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Lexington Manor Senior Care LLC

  • Skilled Nursing Facility
  • Lexington, MS
  • NPI 1063604320

  Adp of the SNF

  CMS ownership
• Parkway Health & Rehab, LLC

  • Skilled Nursing Facility
  • Canton, MS
  • NPI 1659011567

  Adp of the SNF

  CMS ownership
• Poplar Springs Nursing Center LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1265416986

  Adp of the SNF

  CMS ownership
• Trend Health and Rehab of Houston, LLC

  • Skilled Nursing Facility
  • Houston, MS
  • NPI 1477394013

  Adp of the SNF

  CMS ownership
• Windsor Place Nursing Center Inc

  • Skilled Nursing Facility
  • Columbus, MS
  • NPI 1265449367

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Medserve, PA

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1871883223

  Family Medicine, MS

  Medicare reassignment Care Compare group NPD Authorized official
• Medical Systems Management LLC

  • Rural Health Clinic/Center
  • Richland, MS
  • NPI 1740555267

  MS

  Medicare reassignment Care Compare group
• 3716 Highway 39 North Opco LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1306654355
  NPD (past)
• Aurora Australis, LLC

  • Skilled Nursing Facility
  • Columbus, MS
  • NPI 1811976368
  NPD (past)
• Bedford Care Center of Marion, LLC

  • Skilled Nursing Facility
  • Marion, MS
  • NPI 1215170832
  NPD (past)
• Belhaven Senior Care

  • Skilled Nursing Facility
  • Madison, MS
  • NPI 1518159862
  NPD (past)
• Clinton Healthcare LLC

  • Skilled Nursing Facility
  • Clinton, MS
  • NPI 1134360753
  NPD (past)
• Durant Healthcare LLC

  • Skilled Nursing Facility
  • Durant, MS
  • NPI 1134420284
  NPD (past)
• Hinds County Nursing &Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1598749210
  NPD (past)
• Lexington Manor Senior Care LLC

  • Skilled Nursing Facility
  • Lexington, MS
  • NPI 1063604320
  NPD (past)
• Meadowbrook Health & Rehab LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1861817603
  NPD (past)
• Mississippi Commcare Corporation a Non Profit Corporation

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1083788053
  NPD (past)

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

• Amedisys Mississippi, LLC

  • Home Health Agency
  • Vicksburg, MS
  • NPI 1245288943
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173

  Hospital

  Care Compare affiliation
• Belhaven Senior Care

  • Skilled Nursing Facility
  • Madison, MS
  • NPI 1518159862

  Nursing home

  Care Compare affiliation
• Clinton Healthcare LLC

  • Skilled Nursing Facility
  • Clinton, MS
  • NPI 1134360753

  Nursing home

  Care Compare affiliation
• Community Hospice, LLC

  • Community Based Hospice Care Agency
  • Tupelo, MS
  • NPI 1619933819

  Hospice

  Care Compare affiliation
• Hinds County Nursing &Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1598749210

  Nursing home

  Care Compare affiliation
• Home Health Care Affiliates of Central Mississippi, LLC

  • Home Health Agency
  • Flowood, MS
  • NPI 1417935578
  Care Compare affiliation
• Home Health Care Services, Inc.

  • Community Based Hospice Care Agency
  • Yazoo City, MS
  • NPI 1851377469

  Hospice

  Care Compare affiliation
• Life Source Services, LLC

  • Community Based Hospice Care Agency
  • Madison, MS
  • NPI 1417915091

  Hospice

  Care Compare affiliation
• Meadowbrook Health & Rehab LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1861817603

  Nursing home

  Care Compare affiliation
• Mid-Delta Home Health, Inc.

  • Home Health Agency
  • Belzoni, MS
  • NPI 1649295684
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1124097191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AMITY LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477941",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANHATTAN NURSING AND REHABILITATION CENTER",
            "address_2": "4540 MANHATTAN RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Trend Health and Rehab of Meridian",
            "address_2": "517 33rd St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39305",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Vineyard Court Nursing Center",
            "address_2": "2002 5th St North",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "39705",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Windsor Place Skilled Nursing & Rehabilitation Center",
            "address_2": "81 Windsor Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "39702",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Wisteria Gardens",
            "address_2": "5420 Highway 80E",
            "address_purpose": "LOCATION",
            "city": "Pearl",
            "state": "MS",
            "postal_code": "39208",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Poplar Springs Nursing Center",
            "address_2": "6615 Poplar Springs Loop",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39305",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Lexington Manor Nursing Center",
            "address_2": "56 Rockport Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MS",
            "postal_code": "39095",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Lakeland Nursing and Rehabilitation Center",
            "address_2": "3680 Lakeland Ln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Forest Hill Nursing Center",
            "address_2": "927 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39212",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Edgewood Health and Rehab",
            "address_2": "205",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392723927",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Holmes County Long Term Care",
            "address_2": "15481 Bowling Green Rd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "MS",
            "postal_code": "39063",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Compere's Nursing Home",
            "address_2": "865 North St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39202",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Clinton Healthcare",
            "address_2": "1251 Pinehaven Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39056",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Aurora Health and Rehabilitation",
            "address_2": "310 Emerald Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "39702",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Madison Health and Rehab",
            "address_2": "111 Kelly Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "39110",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULCHER",
        "first_name": "TODD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "753068151002",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00061664",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS PHYSICIANS CARE NETWOR",
            "identifier": "753068151",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "168390700",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS HEALTH PARTNERS",
            "identifier": "75306815",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "753068151",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111649",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST CHOICE",
            "identifier": "753068151",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4554283",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Frost, DO
• Frredomcare of Mississippi LLC
• Elizabeth Ames Meyer Fryoux
• Jordan T Fryoux, MD
• Christian Alan Fulcher, DO
• Bethany Tillman Fuller, MD
• Catina Fuller
• Constance L Fuller, LCSW
• Jane Fuller
• Robert Montgomery Fuller

• All providers in Jackson, MS
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.