Niah Yvette Fulford, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015191 Issued in GA

Practice address

2838 E Atlanta Rd Ste 2
Ellenwood, GA 30294-2780

Phone

(678) 782-3609

Fax

(678) 782-3803

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

57.28 of 100Reported as group

Quality

60.36

Promoting interoperability

0

Improvement activities

40

Cost

80.58

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1417071564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 E ATLANTA RD STE 2",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942780",
            "telephone_number": "678-782-3609",
            "fax_number": "678-782-3803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N State St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401086",
            "country_code": "US",
            "telephone_number": "317-462-1800",
            "fax_number": "317-467-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULFORD",
        "first_name": "NIAH",
        "middle_name": "YVETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "050120183A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204685",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Ivey Few
• Ermese Finnie-Sital
• Levette Fleming, R.PH.
• Arnell Rorie Footman
• Maria Montrice Ford, FNP
• Crystal Mary Agatha Fuller, LDO, ABOC, NCLEC
• Marquis Garner
• Sandra Gaytan
• Georgia CVS Pharmacy LLC (CVS Pharmacy #05633)
• Georgia Mobile Healthcare Services (GMHS)

• Physical Therapist in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.