Gay Fulkerson,M.D.,P.S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30387 Issued in KY

Legal business name

GAY FULKERSON,M.D.,P.S.C.

Practice address

310 S Main St
Leitchfield, KY 42754-1428

Phone

(270) 259-9633

Fax

(270) 259-0061

NPI assigned

Aug 21, 2006

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gay Fulkerson, M.D.NPI 1740395292

Title

President

Phone

(270) 259-9633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gay Fulkerson, M.D.

  • Family Medicine Physician
  • Leitchfield, KY
  • NPI 1740395292
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1871608323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541428",
            "telephone_number": "270-259-9633",
            "fax_number": "270-259-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541428",
            "telephone_number": "270-259-9633",
            "fax_number": "270-259-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAY FULKERSON,M.D.,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-259-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "30387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64303878",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Renee Fulkerson, RD
• Robert Wayne Fuller
• Margaret A Furgason, LPA
• Jana Garcia, MSW, CSW
• Nathaniel J. Gastaldo, DPM
• Angela Mae Gibson, PHARMD
• Scott Anthony Gibson, M.A.
• Robert Carroll Goodman Jr., PHARMD., BCPS
• Martin Gravil, PHARM D
• Grayson County Board of Education

• Family Medicine Physician in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.