Active NPI
Griffin Lowe Fuller, M.D.
- Internal Medicine Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S3661
- Practice address
- 4500 Williams Dr Ste 285
Georgetown, TX 78633-1339 - Phone
- (512) 869-4800
- Fax
- (512) 868-8801
- NPI assigned
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S3661 | TX | |
| Family Medicine Physician | 207Q00000X | 11018498A | IN | |
| Internal Medicine Physician | 207R00000X | S3661 | TX | Primary |
Addresses
Primary practice location
4500 Williams Dr Ste 285
Georgetown, TX 78633-1339
Mailing address
825 E Rundberg LN Ste B1
Austin, TX 78753-4860
Phone (512) 978-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 Williams Drive
285 Wellmed at Georgetown
Georgetown, TX 78633-1339
Phone (512) 869-4800
Hospital & facility affiliations
- Enhabit Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3661 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Ascension Seton | Family Medicine | Past | Accepting new patients |
Locations
3708 Jefferson St
Austin, TX 78731
Phone (512) 459-6503
4500 Williams Dr
Ste 285
Georgetown, TX 78633
Phone (512) 869-4800
1750 Round Rock Ave
Ste 100
Round Rock, TX 78681
Phone (512) 388-9495
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- griffin.fuller@wellmed.eclinicaldirectplus.com
Organizations & group practices 3
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
- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1902886278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1730573254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E RUNDBERG LN STE B1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787534860",
"telephone_number": "512-978-9600",
"fax_number": "512-901-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 WILLIAMS DR STE 285",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331339",
"telephone_number": "512-869-4800",
"fax_number": "512-868-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "GRIFFIN",
"middle_name": "LOWE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S3661",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11018498A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.