Carla Fulgham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126218 Issued in TX

Practice address

300 N Alamo Blvd
Marshall, TX 75670-3451

Phone

(903) 927-2824

Fax

(903) 927-2880

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

No

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rheumatology Association of Longview, PLLCGroup PAC ID 0345224614, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Ut Health East Texas Carthage Hospital Hospital, Carthage, TX, CCN 450210
• Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

Merit-based Incentive Payment System (MIPS)

Final score

85.86 of 100Reported as group

Quality

64.71

Improvement activities

40

Cost

90.2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Rheumatology Association of Longview, PLLC

  • Rheumatology Physician
  • Longview, TX
  • NPI 1205026432
  Medicare reassignment Care Compare group NPD

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

• Carthage Hospital, LLC

  • General Acute Care Hospital
  • Carthage, TX
  • NPI 1538667035
  Care Compare affiliation
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation
• Titus County Hospital District

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881

  Hospital

  Care Compare affiliation
• Titus County Hospital District

  • General Acute Care Hospital
  • Mt Pleasant, TX
  • NPI 1174526529
  Care Compare affiliation

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1124427265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-927-2824",
            "fax_number": "903-927-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N ALAMO BLVD",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703451",
            "telephone_number": "903-927-2824",
            "fax_number": "903-927-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGHAM",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Frazier
• Fresh Air Oxygen and Medical Supply
• Fresh Start East Texas Counseling Services
• Fresh Start East Texas Counseling Services
• Kayla Danelle Fry, DDS
• Misty Mitchell Fyffe, D.D.S.
• Christopher Michael Galles, PHARM.D.
• Diana Garcia
• Julia Michelle Garcia, AUDIOLOGIST
• Kristopher Alan Garcia

• Family Nurse Practitioner in Marshall, TX
• Providers in Marshall, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.