Chevita Edwards Fuller, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN162031 Issued in GA

Practice address

4795 Riverside Dr
Macon, GA 31210-1115

Phone

(478) 621-4447

NPI assigned

Oct 22, 2015

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Heart Physicians LLCGroup PAC ID 0345204418, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chevita.fuller@ghp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

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.

• Georgia Heart Physicians LLC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1407994437
  Medicare reassignment Care Compare group NPD
• Macon Electrophysiology Associates

  • Clinical Cardiac Electrophysiology Physician
  • Macon, GA
  • NPI 1306923495
  NPD (past)

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

• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation
• The Medical Center of Peach County, Inc

  • Critical Access Hospital
  • Byron, GA
  • NPI 1114923406
  Care Compare affiliation

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1437521028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101115",
            "telephone_number": "147-862-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101115",
            "telephone_number": "478-621-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "CHEVITA",
        "middle_name": "EDWARDS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN162031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Miller Fritz
• David Jay Frolich, MD
• From the Heart Medical Transportation, LLC
• Franklin Enrique Fuenmayor-Cardozo, M.D.
• Ashtyn Fuller
• Crystal G Fuller, DDS
• Destiny Fuller, LPN
• Janet P Fuller, CRNA
• Michael F Fuller, MD
• Function & Health Professionals LLC

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.