Active NPI
Lori J. Fulton, M.D.
- Obstetrics & Gynecology Physician
- Jackson, MS
National Provider Identifier
1427149582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 11357
- Practice address
- 1963 W McDowell Rd
Jackson, MS 39204-4217 - Phone
- (601) 372-3632
- Fax
- (601) 372-7361
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11357 | MS | Primary |
Addresses
Primary practice location
1963 W McDowell Rd
Jackson, MS 39204-4217
Mailing address
1963 W McDowell Rd
Jackson, MS 39204-4217
Phone (601) 372-3632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00773211 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Mississippi School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colony Crossing Way
Suite 250
Madison, MS 39110-6832
Phone (601) 326-6401
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- St Dominic-Jackson Memorial Hospital
- Merit Health Women's Hospital
- Merit Health Central
- Merit Health River Oaks
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.89 of 100
- Quality
- 49.43
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11357 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori J. Fulton, M.D. | Current | Accepting new patients | |
| Southeast Urogyn LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ovation Womens Wellness LLC | Past | Accepting new patients |
Locations
1040 River Oaks Dr
Ste 101
Flowood, MS 39232
Phone (601) 933-5405
1040 River Oaks Dr
Ste 103
Jackson, MS 39232
Phone (601) 326-2599
1963 W McDowell Rd
Jackson, MS 39204
Phone (601) 346-4479
111 Colony Crossing Way
Ste 250
Madison, MS 39110
Phone (601) 326-6401
Interoperability endpoints
- lori.fulton.1@30135.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Jackson, MS
- NPI 1548513617
-
- Obstetrics Physician
- Jackson, MS
- NPI 1053486571
-
- Gynecology Physician
- Madison, MS
- NPI 1548688310
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1427149582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 W MCDOWELL RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044217",
"telephone_number": "601-372-3632",
"fax_number": "601-372-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 W MCDOWELL RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044217",
"telephone_number": "601-372-3632",
"fax_number": "601-372-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "LORI",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "11357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00773211",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.