A. Kenneth Fuller, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

028165 Issued in GA

Practice address

1913 Smith Ave
Thomasville, GA 31792-5751

Phone

(229) 226-7060

Fax

(229) 226-7061

NPI assigned

Dec 14, 2005

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Medical College of Georgia School of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821073768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925751",
            "telephone_number": "229-226-7060",
            "fax_number": "229-226-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925751",
            "telephone_number": "229-226-7060",
            "fax_number": "229-226-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "A.",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "028165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Forehand, ARNP
• Adam Michael Frasch, D.P.M.
• Bobbie Frazier
• Armin Fritz Friedli, M.D.
• Kristen Marie Fritzsche, PTA
• Angela Edwards Fuller, M.S., L.P.C.
• Ashleigh Fuller, RN
• Jonathan Fuller, PA
• Felicia Gabriel, BSW, MRC
• Marx Reid Gaines Jr., RPH

• Psychiatry Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.