AUDREY ROZEMAN FULLER NP
NPI 1104462316
Nurse Practitioner - Adult Health in Atlanta, GA

Q: What is Audrey Fuller's NPI number?

The NPI number for Audrey Fuller is 1104462316. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Q: What is Audrey Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Fuller was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since November 22, 2019PECOS EnrolledAccepts Medicare Assignment

72.26/100

CMS Quality Rating

1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309(404) 892-2131(404) 215-9222 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Mar 29, 2021, Nov 22, 2019 (3 updates tracked since 2019).

On this page

About Audrey Rozeman Fuller Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY ROZEMAN FULLER NP (NPI 1104462316) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (290871) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104462316

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAUDREY ROZEMAN FULLERCredential: NP

Location Address1110 W PEACHTREE ST NW STE 1100Atlanta, GA 30309-3609

Mailing Address1110 W Peachtree St Nw Ste 1100Atlanta, GA 30309-3609

Phone(404) 892-2131

Fax(404) 215-9222

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 22, 2019

Last NPPES UpdateJune 18, 20253 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1104462316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · 290871

1110 W PEACHTREE ST NW STE 1100, Atlanta, GA 30309

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17823 Spivey Station Blvd Ste 310Jonesboro, GA 30236-2886 · Phone (770) 996-1122 · Fax (770) 907-1429

Location 21450 Dowell Springs Blvd Ste 300Knoxville, TN 37909-2444 · Phone (865) 637-8812 · Fax (865) 637-8865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Audrey Rozeman Fuller Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082040241

PECOS Enrollment IDI20241114003561

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.03

Promoting Interoperability

Improvement Activities

Cost

45.49

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers37 claims70 services$5.84 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims13 services$1.04 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

6 suppliers17 claims2,060 services$6.55 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers41 claims41 services$169.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. MORRIS E. BROWN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)