Individual provider Active NPI

Heather Danyel Fults, NP

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1659014751
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26455 Issued in SC
Practice address
9600 Two Notch Rd Ste 5
Columbia, SC 29223-1612
Phone
(769) 243-6141
Fax
(601) 914-9620
NPI assigned
Apr 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26455 SC Primary

Addresses

Primary practice location

9600 Two Notch Rd Ste 5
Columbia, SC 29223-1612

Mailing address

778 Liberty Rd
Flowood, MS 39232-9300
Phone (769) 243-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001072 SC Practitioner - Nurse Practitioner 7214394667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

9600 Two Notch Rd
Suite 5
Columbia, SC 29223-1612
Phone (769) 243-6141

Hospital & facility affiliations

  • Panola Medical Center Hospital, Batesville, MS, CCN 250781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hospice and Palliative Care LLC CurrentSince Jun 2, 2025 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 13, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 13, 2023 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541

9600 Two Notch Rd
Ste 5
Columbia, SC 29223
Phone (239) 652-0260

1312 Augusta St
Greenville, SC 29605
Phone (800) 410-4663

Interoperability endpoints

  • Direct secure messaging: ms_hfults@landmarkhealth-direct.org

Organizations & group practices 4

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.

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": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1659014751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 LIBERTY RD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329300",
            "telephone_number": "769-243-6141",
            "fax_number": "601-914-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 TWO NOTCH RD STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231612",
            "telephone_number": "769-243-6141",
            "fax_number": "601-914-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTS",
        "first_name": "HEATHER",
        "middle_name": "DANYEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.