Adam Michael Fuller, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA15203 Issued in TX

Practice address

422 S Hillcrest Dr
Sulphur Springs, TX 75482-3661

Phone

(903) 885-2820

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Legent Physician Group PLLC

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1265142038
  Medicare reassignment
• Lone Star Surgery PLLC

  • Surgery Physician
  • Sulphur Springs, TX
  • NPI 1689834053
  Medicare reassignment
• Ntos LLC

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1831670397
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1730847450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 ENGLISH RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328290",
            "telephone_number": "214-558-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 S HILLCREST DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754823661",
            "telephone_number": "903-885-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12228 N Central Expy Ste 410",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433797",
            "country_code": "US",
            "telephone_number": "972-566-5255",
            "fax_number": "972-566-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Foster
• Gina Marie Foster, APRN, FNP-C
• Four-a Lac Inc
• McKenzie Nicholle Francis
• Karmon D Friddle, PTA
• Jaslyn Christine Galvan
• Rebecca Godwin Garcia
• Jennifer L Garriga, CPNP
• Marcos Antonio Garza, LAT
• Tiffany Sims Gebel, M.D.

• Surgical Physician Assistant in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.