Individual provider Active NPI

Anne Fulbright, MA. MMS, PA-C

  • Physician Assistant
  • Arden, NC
National Provider Identifier
1730449638
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03566 Issued in NC
Practice address
4 Long Shoals Rd Ste B143
Arden, NC 28704-5544
Phone
(828) 606-1955
Fax
(828) 676-1445
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03566 NC Primary

Addresses

Primary practice location

4 Long Shoals Rd Ste B143
Arden, NC 28704-5544

Mailing address

4 Long Shoals Rd Ste B143
Arden, NC 28704-5544
Phone (828) 606-1955

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000809 NC Practitioner - Physician Assistant 7517113004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

394 Merrimon Ave
Asheville, NC 28801-1226
Phone (828) 606-1955

4 Long Shoals Rd
Suite B143
Arden, NC 28704-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1730449638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD STE B143",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544",
            "telephone_number": "828-606-1955",
            "fax_number": "828-676-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD STE B143",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544",
            "telephone_number": "828-606-1955",
            "fax_number": "828-676-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULBRIGHT",
        "first_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MA. MMS,  PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.