Fuse Medical

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FUSE MEDICAL

Doing business as

Fuse Behavioral Health

Practice address

202 W 7TH St
London, KY 40741-1763

Phone

(606) 771-5161

NPI assigned

Dec 20, 2024

Organization subpart

Yes

Parent organization

FUSE MEDICALAs reported in NPPES

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

Authorized official

Name

Tammy L Whitehead

Title

Owner/Provider

Phone

(606) 770-5161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fuse Behavioral Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fuse Medical6 organizations share this tax ID, including this one

Part of

Fuse Medical

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Fuse Medical

  dba Fuse Medical BHSO

  • Multi-Specialty Clinic/Center
  • London, KY
  • NPI 1124980255
  NPD tax ID
• Fuse Medical

  • Nurse Practitioner
  • London, KY
  • NPI 1164003125
  NPD tax ID
• Fuse Medical

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1467326413
  NPD tax ID
• Fuse Medical

  dba Fuse Restoration Living

  • Substance Use Disorder Rehabilitation Clinic/Center
  • London, KY
  • NPI 1831042019
  NPD tax ID
• Fuse Medical

  dba Fuse I-Rise

  • Multi-Specialty Clinic/Center
  • London, KY
  • NPI 1952263089
  NPD tax ID

Locations

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1629886825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 7TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411763",
            "telephone_number": "606-770-5161",
            "fax_number": "606-771-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 7TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411763",
            "telephone_number": "606-771-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411903",
            "country_code": "US",
            "telephone_number": "606-770-5161",
            "fax_number": "606-771-5168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSE MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FUSE MEDICAL",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-770-5161"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AODE LICENSE",
            "identifier": "811933",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuse Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fuse Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Fugate
• Elzer T. Fuller Jr., M.D.
• Fuse Medical (Fuse Medical BHSO)
• Fuse Medical
• Fuse Medical
• Fuse Medical (Fuse Restoration Living)
• Fuse Medical (Fuse I-Rise)
• Christopher Douglas Fuson, PT, DPT, ATC
• Andrew Wesley Gallagher, MSW
• Autumn Bailey Gallimore

• Multi-Specialty Clinic/Center in London, KY
• Providers in London, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.