Addison Deitrich Fuller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2016-00011 Issued in NC

Practice address

257 Biltmore Ave
Asheville, NC 28801-4120

Phone

(828) 285-0622

NPI assigned

May 13, 2013

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 names 1

• Alison Deirdre Fuller Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

East Tennessee State University Quillen College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western North Carolina Community Health Services Inc.Group PAC ID 0840264669, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afuller603877@direct.ochin.org

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.

• Western North Carolina Community Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1780801050
  Medicare reassignment Care Compare group NPD
• Western North Carolina Community Health Services, Inc.

  • Community Health Clinic/Center
  • Asheville, NC
  • NPI 1043392921
  NPD
• Western North Carolina Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, NC
  • NPI 1790402345
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• MH Mission Hospital, LLLP

  • General Acute Care Hospital
  • Asheville, NC
  • NPI 1962987677
  Care Compare affiliation

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1366888752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ADDISON",
        "middle_name": "DEITRICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-00011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "FULLER",
            "middle_name": "DEIRDRE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Morgan Fryar, MD
• Karen Renee Frye, M.D.
• Kerrie Kardatzke Fuenfhausen, PH.D., LCMHC
• Mariana Fuenmayor Llanos
• Fuller Eye Care Associates, O.D., P.a.
• Thomas Fuller, O.D.
• Karen Fulmer, MED. LCAS
• Jessica Marie Fulton
• Julia Anne Furdyna, M.D.
• Lauren Furgiuele, RDN, LDN

• Family Medicine Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.