Ronald Fuller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005224 Issued in GA

Practice address

23 E Main St
Manchester, GA 31816-2114

Phone

(678) 432-4755

Fax

(678) 432-4753

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuller Life Chiropractic Center PCGroup PAC ID 7113914250, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fuller Life Chiropractic Center PC

  • Chiropractor
  • Manchester, GA
  • NPI 1417129081
  Medicare reassignment Care Compare group NPD
• Fuller Life Solutions

  • Chiropractor
  • Manchester, GA
  • NPI 1942586607
  NPD (past) Authorized official

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477528925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318160307",
            "telephone_number": "678-432-4755",
            "fax_number": "678-432-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318162114",
            "telephone_number": "678-432-4755",
            "fax_number": "678-432-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RONALD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "CHIRO005224",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freds Stores of Tennessee Inc
• Tina Catherine Friend, MCD CCC-SLP
• Fuller Life Chiropractic Center
• Fuller Life Chiropractic Center PC
• Fuller Life Solutions
• Candice Renee Gaultney, LMT
• Georgia CVS Pharmacy LLC
• Felicia Helmick
• Thomas G Hopkin, DDS
• Rusti A Houston, PHARMD

• Chiropractor in Manchester, GA
• Providers in Manchester, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.