Active NPI
Eric Alan Fuller
- Audiologist-Hearing Aid Fitter
- Rome, GA
National Provider Identifier
1144865957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- HAP000318
- Practice address
- 700 East 2ND Street
Suite C
Rome, GA 30161 - Phone
- (706) 234-2001
- NPI assigned
- Nov 15, 2019
- Last updated
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | HAP000318 | GA | Primary |
Addresses
Primary practice location
700 East 2ND Street
Suite C
Rome, GA 30161
Mailing address
700 East 2ND Street
Suite C
Rome, GA 30161
Phone (706) 234-2001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAP000318 | GA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1144865957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 EAST 2ND STREET",
"address_2": "SUITE C",
"city": "ROME",
"state": "GA",
"postal_code": "30161",
"telephone_number": "706-234-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EAST 2ND STREET",
"address_2": "SUITE C",
"city": "ROME",
"state": "GA",
"postal_code": "30161",
"telephone_number": "706-234-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "ERIC",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "HAP000318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.