Jana Allen Fuller, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN147639 Issued in GA

Practice address

1445 Old McDonough Hwy SE
Suite E
Conyers, GA 30094-5977

Phone

(770) 922-9222

Fax

(770) 922-8794

NPI assigned

Apr 4, 2012

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jana Allen Floyd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Georgia Emergency Physicians, PC

  • Emergency Medicine Physician
  • Covington, GA
  • NPI 1245357656
  NPD (past)
• Medical Centre of Conyers

  • Clinic/Center
  • Conyers, GA
  • NPI 1710946371
  NPD (past)

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1588920524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 OLD MCDONOUGH HWY SE",
            "address_2": "SUITE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945977",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 OLD MCDONOUGH HWY SE",
            "address_2": "SUITE E",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945977",
            "telephone_number": "770-922-9222",
            "fax_number": "770-922-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JANA",
        "middle_name": "ALLEN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN147639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "FLOYD",
            "middle_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Ann Frey, NCMT
• Bradley Lloyd Fricke, M.D.
• Friends in Transformation LLC
• Talisha M Fulcher, CERTIFIED HAIR LOSS
• Full Medical and Oxygen
• Vickie Lorraine Fulwider
• Functional Vitality
• Allen A Futral III, M.D.
• Misty Ann Futrell
• Oscar Cornell Gaines

• Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.