FREIDA FULLER


Address: 3001 Mercer University Dr, Atlanta, GA 30341-4115
Phone: 6785476742

FREIDA FULLER (NPI# 1295177947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295177947
Entity Type Individual
Full Name FREIDA FULLER
Practice Address 3001 Mercer University Dr
Atlanta
GA 30341-4115
Mailing Address 3457 Rose Arbor Ct
Atlanta
GA 30340-4038
Practice Telephone 6785476742
Mailing Telephone 7708562135
Enumeration Date 2013-07-23
Last Update Date 2013-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
104781 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3001 MERCER UNIVERSITY DR
City ATLANTA
State GA
Zip Code 30341-4115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689740011 Jeannette Renee Anderson Physical Therapist 3001 Mercer University Dr, Davis Suite 100, Atlanta, GA 30341-4115 2006-11-28
1144832445 Shayla Monroe Nurse Practitioner 3001 Mercer University Dr, Atlanta, GA 30341-4115 2020-08-18
1386285914 Sara Elizabeth Dover Physician Assistant 3001 Mercer University Dr, Atlanta, GA 30341-4115 2019-10-04
1093360091 Nicholas Orton Physical Therapist 3001 Mercer University Dr, Davis Building Suite 106, Atlanta, GA 30341-4115 2019-08-06
1396307609 Kevin Thomas Philippart Pharmacist 3001 Mercer University Dr, Atlanta, GA 30341-4115 2019-07-08
1205490455 Dorothy Faber Physician Assistant 3001 Mercer University Dr, Atlanta, GA 30341-4155 2019-04-23
1326457326 Clarence Anthony Holmes Jr. Physical Therapist 3001 Mercer University Dr, Davis Building Suite 106, Atlanta, GA 30341-4115 2014-08-05
1922419829 Kathryn Momary Pharmacist 3001 Mercer University Dr, Department of Pharmacy Practice, Duvall 148, Atlanta, GA 30341-4115 2014-05-13
1679917850 Kendra Manigault Pharmacist 3001 Mercer University Dr, Atlanta, GA 30341-4115 2013-04-18
1205172228 Yolanda Whitty Pharmacist 3001 Mercer University Dr, Atlanta, GA 30341-4115 2012-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992207344 Rabun Marie Robertson Occupational Therapist 2320 Perimeter Park Drive, Atlanta, GA 30341 2018-03-01
1568986313 Charles Edge IIi Nurse Practitioner 4770 Buford Highway, Atlanta, GA 30341 2017-08-02
1366971277 Park Ridge Healthcare and Physical Medicine LLC Nurse Practitioner 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 2017-06-06
1437502937 Chara Mcgill Counselor 13207 Jefferson Circle N, Chamblee, GA 30341 2016-07-20
1982063913 Stepping Stone of Atlanta Community/Behavioral Health 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 2016-02-18
1013317577 Marne Day Counselor 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 2014-09-02
1013343680 Keelan Walker Speech-Language Pathologist 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 2013-09-16
1578901955 Promonitor LLC Electrodiagnostic Medicine 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 2013-06-07
1639415359 Lawanda B Cooke Health Educator 5280 Peachtree Ind Blvd, Chamblee, GA 30341 2012-12-28
1457602773 Arthur Macrae Wendel Family Medicine 4770 Buford Hwy Ms F60, Atlanta, GA 30341 2012-09-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1790398790 Starr Patrice Dickerson Nurse Practitioner 655 Dot Dr, Atlanta, GA 30349-2730 2020-08-28
1265042162 Habida Elachola Nurse Practitioner 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 2020-08-05
1184249815 Nichelle Osborne Nurse Practitioner 5785 Roswell Rd, Atlanta, GA 30328-4903 2020-06-09
1902427149 Oasis Health Services, LLC Nurse Practitioner 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 2020-04-28
1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
1396382321 Stacey Brinkley Nurse Practitioner 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 2019-12-10
1801439401 Debadrita Mondal Nurse Practitioner 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 2019-10-26
1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
1194366567 Tondalaya K Sanford Nurse Practitioner 3119 Fonseca Pass, Atlanta, GA 30349-8140 2019-10-07
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Competitor

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City ATLANTA
Zip Code 30341

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Dataset Information

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.

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