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

Last updated

Jan 17, 2022By the provider in NPPES

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

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

  dba The Oaks Rehabilitation and Healthcare

  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medserve, PA

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1871883223
  Medicare reassignment Care Compare group NPD Authorized official
• Medical Systems Management LLC

  dba Rankin Rural Medical Clinic

  • Rural Health Clinic/Center
  • Richland, MS
  • NPI 1740555267
  Medicare reassignment Care Compare group
• 3716 Highway 39 North Opco LLC

  dba The Oaks Rehabilitation and Healthcare

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

  dba Aurora Health and Rehabilitation

  • 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

  dba The Madison Health and Rehab

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

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

  dba Holmes County Long Term Care

  • 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

  dba North Pointe Health & Rehabilitation

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

  dba Lakeland Community Care Center

  • 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

  dba Adoration Home Health

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

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation
• Belhaven Senior Care

  dba The Madison Health and Rehab

  • 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

  dba Community Hospice

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

  dba CenterWell Home Health

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

  dba Adoration Home Health and Hospice Care Mississippi

  • Community Based Hospice Care Agency
  • Yazoo City, MS
  • NPI 1851377469
  Care Compare affiliation
• Life Source Services, LLC

  dba Pax Hospice (Madison)

  • Community Based Hospice Care Agency
  • Madison, MS
  • NPI 1417915091
  Care Compare affiliation
• Meadowbrook Health & Rehab LLC

  dba North Pointe Health & Rehabilitation

  • 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
  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": "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": "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": "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": "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": [],
    "endpoints": [],
    "other_names": []
}

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

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• 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.