Individual provider Active NPI

Latoya Denise Fulton, D.O.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1598031122
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-01188 Issued in NC
Practice address
3901 Capital Blvd Ste 113
Raleigh, NC 27604-3487
Phone
(984) 282-9402
Fax
(877) 471-2993
NPI assigned
Mar 28, 2012
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-01188 NC Primary

Addresses

Primary practice location

3901 Capital Blvd Ste 113
Raleigh, NC 27604-3487

Mailing address

3901 Capital Blvd Ste 113
Raleigh, NC 27604-3487
Phone (984) 282-9402

Other names 1

  • Latoya Denise Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address latoya.fulton.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608000345 NC Practitioner - Family Practice 4183991110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2806 W Sugar Creek Rd
Charlotte, NC 28262-7307
Phone (704) 954-8832

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2022-01188NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care NC JV PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (NC) JV, P.C. Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care NC JV PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care NC JV PC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care NC JV PC Family Medicine Past Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

2806 W Sugar Creek Rd
Charlotte, NC 28262
Phone (704) 596-3378

8727 Jw Clay Blvd
Charlotte, NC 28262
Phone (980) 999-1831

3901 Capital Blvd
Ste 113
Raleigh, NC 27604
Phone (919) 872-1648

Interoperability endpoints

  • Direct secure messaging: latoya.fulton.1@29601.direct.athenahealth.com
  • Direct secure messaging: latoya.fulton@centerwell.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1598031122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL BLVD STE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043487",
            "telephone_number": "984-282-9402",
            "fax_number": "877-471-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL BLVD STE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043487",
            "telephone_number": "984-282-9402",
            "fax_number": "877-471-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "LATOYA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-01188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latoya.fulton.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3901 Capital Blvd Ste 113",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276043487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "PHILLIPS",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.