MR. RONALD KEITH FULLER JR. (NPI# 1225493646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225493646 |
| Entity Type | Individual |
| Full Name | MR. RONALD KEITH FULLER JR. |
| Credential | AG-ACNP |
| Practice Address |
80 Jesse Hill Drive Atlanta GA 30303 |
| Mailing Address |
1306 Westchester Rdg Ne Atlanta GA 30329-2482 |
| Practice Telephone | 4042518921 |
| Practice Fax Number | 4046886351 |
| Mailing Telephone | 7702655709 |
| Mailing Fax Number | 4046886351 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN176821 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286828 | Ronald L Fuller | Licensed Practical Nurse | 2324 Demi Dr, Twinsburg, OH 44087-1394 | 2011-03-15 |
| 1477528925 | Ronald Fuller | Chiropractor | 23 E Main St, Manchester, GA 31816-2114 | 2006-02-20 |
| 1902150972 | Ronald Arthur Fuller | Physical Therapy Assistant | 435 Union Ave, Laconia, NH 03246-2918 | 2012-10-30 |
| 1417999509 | Ronald L Fuller | Dentist | 255 N Maple St, Ainsworth, NE 69210-1420 | 2006-06-12 |
| 1932169893 | Ronald Fuller | Radiology | 1970 E 53rd St, Davenport, IA 52807-2710 | 2006-03-24 |
| Street Address |
80 JESSE HILL DRIVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376788802 | Seemie Naz Syed | Anesthesiologist Assistant | 80 Jesse Hill Drive, Atlanta, GA 30303 | 2008-12-12 |
| 1831464817 | Adriana Karen Sunara-waters | Nurse Practitioner | 80 Jesse Hill Drive, Atlanta, GA 30303-2373 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636941 | Pamela Patrice Ward | Nurse Practitioner | 789 Hammond Dr Apt 1706, Atlanta, GA 30328-8156 | 2020-07-07 |
| 1124640586 | Lana Wassim Hojeij | Nurse Practitioner | 67 28th St Nw, Atlanta, GA 30309-1842 | 2020-05-08 |
| 1346874021 | Monique Sims Breland | Nurse Practitioner | 993d Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1602 | 2020-03-03 |
| 1245860634 | Christy Michelle Apple | Nurse Practitioner | 1900 Chancery Ln, Atlanta, GA 30341-1010 | 2020-01-24 |
| 1366008237 | Melissa Lee Hallman | Nurse Practitioner | 1421 Peachtree St Ne Ste A, Atlanta, GA 30309-3040 | 2019-05-15 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1770098717 | Tracy Michelle Shelton | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245-a, Atlanta, GA 30308-2247 | 2017-12-13 |
| 1013457845 | Phung Ngoc Lu | Nurse Practitioner | 550 Peachtree Street -, Davis Fischer Building Office 3245a, Atlanta, GA 30308 | 2017-02-27 |
| 1386197457 | Elizabeth Carrington Mitchell | Nurse Practitioner | 373 Brooks Ave Ne, Atlanta, GA 30307-2141 | 2016-07-25 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.