Mai Fujimoto

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN-NP258499 Issued in GA

Practice address

450 Georgia Ave Ste B
Statesboro, GA 30458-5590

Phone

(912) 871-2200

NPI assigned

Jul 13, 2026

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• East Georgia Nephrology, PC

  • Nephrology Physician
  • Statesboro, GA
  • NPI 1215128186
  NPD (past)

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205755295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-871-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GEORGIA AVE STE B",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585590",
            "telephone_number": "912-871-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748909",
            "country_code": "US",
            "telephone_number": "912-537-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "MAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "APRN-NP258499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Franklin
• Kelley Frazier
• Jessica Adrienne French, C.P.N.P.
• Fresh Start Counseling Services
• Frontline Internal Medicine LLC
• Courtney Fuller, PMHNP-BC
• Jordan Grace Fuller
• Fuse Health & Wellness, LLC
• Shannon Kay Salter Fussell, PH.D.
• Wendy Futch, NP

• Acute Care Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.