Active NPI
Wendy S Fuller, NP
- Adult Health Nurse Practitioner
- Social Circle, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN082682 NP
- Practice address
- 551 N Cherokee Rd
Social Circle, GA 30025-2887 - Phone
- (678) 342-6000
- Fax
- (678) 342-6006
- NPI assigned
- Apr 17, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN082682 NP | GA | Primary |
Addresses
Primary practice location
551 N Cherokee Rd
Social Circle, GA 30025-2887
Mailing address
551 N Cherokee Rd
Social Circle, GA 30025-2887
Phone (678) 342-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
4181 Hospital Dr NE
Covington, GA 30014-2541
6175 Newton Dr NE
Covington, GA 30014-2690
Phone (770) 787-6900
9202 Hwy 278 NE
Covington, GA 30014-7011
Phone (678) 342-8660
Hospital & facility affiliations
- Piedmont Newton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN082682 NP | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients | |
| Newton County Medical Associates, PC | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860
6175 Newton Dr NE
Covington, GA 30014
Phone (770) 787-5600
5278 Adams St NE
Covington, GA 30014
Phone (770) 786-2201
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
551 N Cherokee Rd
Social Circle, GA 30025
Phone (678) 342-6000
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Internal Medicine Physician
- Covington, GA
- NPI 1386660918
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700840568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 N CHEROKEE RD",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300252887",
"telephone_number": "678-342-6000",
"fax_number": "678-342-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 N CHEROKEE RD",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300252887",
"telephone_number": "678-342-6000",
"fax_number": "678-342-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "WENDY",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN082682 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Social Circle, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.