Fullerton Medical Clinic, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FULLERTON MEDICAL CLINIC, PLLC

Practice address

2021 Church St
Suite 504
Nashville, TN 37203-2021

Phone

(615) 284-7900

Fax

(615) 284-3488

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randy C. Fullerton, M.D.NPI 1356325237

Title

Owner

Phone

(615) 284-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Curtis Fullerton, M.D.

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1356325237
  NPD Authorized official
• Richard Allen Fox, MD

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1093791063

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164567830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-284-7900",
            "fax_number": "615-284-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-284-7900",
            "fax_number": "615-284-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-284-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrea Monique Fuller
• Kristen Michelle Fuller, APRN
• Ma'Rion Fuller, DMD
• Matthew Gerald Fuller
• Torri Fuller, PHARMD
• Fullerton Medical Group
• Randy Curtis Fullerton, M.D.
• Fullfillment Tender Care, Inc.
• Jacqueline Fullwood
• Briana A Fulton

• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.