Scott Robison Fulp, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013912 Issued in GA

Practice address

215 Magnolia Dr N
Tifton, GA 31794-4217

Phone

(229) 382-7996

Fax

(229) 386-4832

NPI assigned

Jun 16, 2009

Sex

Male

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

State licenses

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.

• Fulp Family Dentistry, LLC

  • General Practice Dentistry
  • Tifton, GA
  • NPI 1669609830
  NPD (past) Authorized official
• Robert a Hill DDS PC

  • Dentist
  • Tifton, GA
  • NPI 1699802132
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1356578520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAGNOLIA DR N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944217",
            "telephone_number": "229-382-7996",
            "fax_number": "229-386-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAGNOLIA DR N",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944217",
            "telephone_number": "229-382-7996",
            "fax_number": "229-386-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULP",
        "first_name": "SCOTT",
        "middle_name": "ROBISON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulp Family Dentistry, LLC
• Fulp Spinal Wellness Center, LLC
• James Fulp
• Jamie Fulp, DC
• Nicole Berger Fulp, DMD
• Sonya Dunn Fulp, DC
• Terri Jeaniene Funk, MFT
• Miranda Furgerson
• Courtlyn Christanna Fussell, RPH
• G.R.C. Inc.

• General Practice Dentistry in Tifton, GA
• Providers in Tifton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.