Carlyn Fulton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0009028 Issued in MD

Practice address

315 N Calvert St
Baltimore, MD 21202-3611

Phone

(410) 633-6300

NPI assigned

Oct 3, 2022

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 MD

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teresa Hoffman M.D. and Associates, LLCGroup PAC ID 9931154267, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cfulton102039@direct.mdmercy.com

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.

• Teresa Hoffman M.D. and Associates, LLC

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1760446041
  Medicare reassignment Care Compare group
• Teresa Hoffman M.D. and Associates, LLC

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1124991211
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1134843246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023611",
            "telephone_number": "410-633-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023611",
            "telephone_number": "410-633-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "CARLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Fullerton, LCSW-C
• Joshua Fullwood
• Kennedi Kirsten Fullwood
• Michael Alain Fulop, M.D.
• Anaya Fulton
• Carmen R Fulton, MD
• Gale Barbette Fulton, LCSW-C
• Jacqueline Fulton, M.D.
• Kathleen Fulton, PA-C
• Marshall Haven Fulton

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.