JAMES MORRISON FULLER JR. (NPI# 1689688301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689688301 |
| Entity Type | Individual |
| Full Name | JAMES MORRISON FULLER JR. |
| Credential | MD |
| Practice Address |
421 Epting Ave Greenwood SC 29646-4041 |
| Practice Telephone | 8642276818 |
| Practice Fax Number | 8642270850 |
| Mailing Telephone | 8642276818 |
| Mailing Fax Number | 8642270850 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39591 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 395913 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075283 | James Fuller | Pathology | 310 Raleigh St, Holly Springs, NC 27540-9047 | 2018-08-31 |
| 1669813747 | James Brandon Fuller | Acupuncturist | 3205 Southgate Cir Ste 7, Sarasota, FL 34239-5514 | 2013-07-17 |
| 1598073058 | James H Fuller | Pharmacist | 2615 N 7th St, West Monroe, LA 71291-5127 | 2010-09-18 |
| 1962738690 | James David Fuller | Psychiatry & Neurology | 22 Jenkins Dr, Hillcrest Estates, Durango, CO 81301-6526 | 2009-10-31 |
| 1750564829 | James Woodrow Fuller Jr. | Social Worker | 8001 Franklin Farms Dr Rm 225, Richmond, VA 23229-5117 | 2007-12-12 |
| 1154537959 | James O. Fuller | Counselor | 718 W Spencer Ave, Marion, IN 46952-3424 | 2007-05-16 |
| 1720053101 | James H Fuller | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| 1124028634 | James C Fuller | Physical Therapist | 31200 23rd Ave South, Federal Way, WA 98003 | 2005-07-26 |
| 1588960785 | James C Fuller | Case Manager/Care Coordinator | 2201 S 17th St, Lincoln, NE 68502-3713 | 2011-02-04 |
| 1982805909 | James Leslie Fuller | Obstetrics & Gynecology | 205 S Lee St, Americus, GA 31709-3913 | 2007-05-29 |
| Street Address |
421 EPTING AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383590 | Walter Ennis James IIi | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-18 |
| 1457906042 | Valerie Chapman Wilson | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2019-08-09 |
| 1598327496 | Stephanie Powers Mccall | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2019-07-01 |
| 1750852554 | Nichole Lasha Williams | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2018-12-06 |
| 1336436583 | Leila Ganjehei | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2011-07-07 |
| 1215246350 | Self Medical Group | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2010-10-06 |
| 1255587465 | Angela M. L. Lopez De Leon | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2008-08-07 |
| 1104011592 | Rachel L Case | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2007-09-10 |
| 1427189935 | Priya Velappan Kumar | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2007-03-08 |
| 1073697579 | Piedmont Cardiology Associates Pa | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225079320 | Indiana Heart Associates PC | Internal Medicine | 521 E County Line Rd, Suite G, Greenwood, IN 46143-1065 | 2006-06-09 |
| 1457320129 | Abasha Thakur | Internal Medicine | 102 Professional Pl, Greenwood, MS 38930-9633 | 2006-03-15 |
| 1851383590 | Walter Ennis James IIi | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-18 |
| 1255587465 | Angela M. L. Lopez De Leon | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2008-08-07 |
| 1427189935 | Priya Velappan Kumar | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2007-03-08 |
| 1073697579 | Piedmont Cardiology Associates Pa | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2006-10-24 |
| 1811978661 | Shekar P Kumar | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-11-09 |
| 1790777332 | Paul E Kim | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-19 |
| 1568454205 | Rollo P Villareal | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-18 |
| 1477545119 | Thomas M Pritchard | Internal Medicine | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-18 |
| Find all providers in GREENWOOD | ||||
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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.