Pagrita Compagaris Fuller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006034 Issued in GA

Practice address

8335 Office Park Dr
Douglasville, GA 30134-6937

Phone

(678) 324-0476

NPI assigned

Apr 22, 2017

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Recovery Unlimited LLC

  • Community/Behavioral Health Agency
  • Douglasville, GA
  • NPI 1427434554
  NPD (past)

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1215462718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 LANTERN TRL",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222792",
            "telephone_number": "936-676-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "678-324-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "PAGRITA",
        "middle_name": "COMPAGARIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA COMPOSITE BOARD OF PC, SW,, AND MFT",
            "identifier": "CSW006043",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT",
            "identifier": "MSW005939",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyra Freeman, APC
• Curtis French
• Miranda Fretwell, RBT
• Lauredith Frias
• Latoya Fuller, RBT
• Ronesia Fullins, RN
• Fundamental Speech Therapy Services Inc. (Fundamental Focus)
• Future One Chiropractic
• Ga Doctors of Optometry LLC
• Elisabeth Jackson Gaines I, PA-C

• Clinical Social Worker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.