FREIDA FULLER (NPI# 1295177947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
104781 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 MERCER UNIVERSITY DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-4115 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on FREIDA FULLER.
| 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.