DR. NICOLE PAIGE FULLER MD
NPI 1073242095
Emergency Medicine in Augusta, GA
About Dr. Nicole Paige Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE PAIGE FULLER MD (NPI 1073242095) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (99993) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicole Paige Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Nicole Fuller reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30901
- Reassigned Medicare billing, Georgia enrollment
- 159 clinicians in this Medicare group
Waynesboro, GA 30830
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Elberton, GA 30635
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Cochran, GA 31014
- Reassigned Medicare billing, Georgia enrollment
- 155 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Fuller's NPI number?
The NPI number for Nicole Fuller is 1073242095. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Nicole Fuller located?
Nicole Fuller practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (803) 341-1722.
What is Nicole Fuller's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nicole Fuller enrolled in Medicare?
Yes. Nicole Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fuller reassigns Medicare benefits to 5 organizations: Peach State Emergency Physicians LLC (Augusta, GA), Southland Burke Emergency Medical Services, LLC (Waynesboro, GA), Southland Consolidated Emergency Services, LLC (Elberton, GA), Southland Emergency Medical Services Consolidated, LLC (Cochran, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Fuller accept?
Health plans from Alliant Health Plans, Inc. list Nicole Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Fuller was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Nicole Paige Fuller, MD · NPI 1073242095
Emergency Medicine physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1073242095 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 99993 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (803) 341-1722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Peach State Emergency Physicians LLC (NPI 1053170605, Augusta, GA); Southland Burke Emergency Medical Services, LLC (NPI 1235885815, Waynesboro, GA); Southland Consolidated Emergency Services, LLC (NPI 1174917124, Elberton, GA); Southland Emergency Medical Services Consolidated, LLC (NPI 1033464391, Cochran, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073242095) · Data from the CMS NPPES public registry.