Fullerton Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FULLERTON MEDICAL GROUP

Practice address

2021 Church St
Suite 504
Nashville, TN 37203-2021

Phone

(615) 284-7900

Fax

(615) 284-3488

NPI assigned

Jan 14, 2006

Organization subpart

No

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

Authorized official

Name

Randy Fullerton, M.D.

Title

General Partner

Phone

(615) 284-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477532729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-284-7900",
            "fax_number": "615-284-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "615-284-7900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105694",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Michelle Fuller, APRN
• Ma'Rion Fuller, DMD
• Matthew Gerald Fuller
• Torri Fuller, PHARMD
• Fullerton Medical Clinic, PLLC
• Randy Curtis Fullerton, M.D.
• Fullfillment Tender Care, Inc.
• Jacqueline Fullwood
• Briana A Fulton
• Michelle Fulton

• Internal Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.