Active NPI
Susan E Fulmer, CNP
- Nurse Practitioner
- Albany, GA
National Provider Identifier
1689667107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R033437
- Practice address
- 2701 Meredyth Dr
Albany, GA 31707-2267 - Phone
- (229) 883-7010
- Fax
- (229) 430-9220
- NPI assigned
- Aug 30, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R033437 | GA | Primary |
Addresses
Primary practice location
2701 Meredyth Dr
Albany, GA 31707-2267
Mailing address
2701 Meredyth Dr
Albany, GA 31707-2267
Phone (229) 883-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00560634A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R033437 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689667107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072267",
"telephone_number": "229-883-7010",
"fax_number": "229-430-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MEREDYTH DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072267",
"telephone_number": "229-883-7010",
"fax_number": "229-430-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULMER",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "R033437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00560634A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
- Sherita Freeman
- Sue Lanier Freeman, PHYSICAL THERAPIST
- Shelia Michelle French-Hines
- William P Fricks, MD
- Joan C Fryer, LPC
- Willie Michael Fussell, D.O.
- Emily E Futch, DPT
- G Phillips Ventures Inc (Phillips Pharmacy)
- Ga Specialty Dental Services (Southwest Oral and Maxillofacial Surgery)
- Gabriel's Health Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.