Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ABIGAIL LORRAINE FULKERSON MD
NPI 1104767698
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Abigail Fulkerson's NPI number?

The NPI number for Abigail Fulkerson is 1104767698. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Q: What is Abigail Fulkerson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Fulkerson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 April 01, 2026PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-3714 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Apr 1, 2026 (2 updates tracked since 2026).

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About Dr. Abigail Lorraine Fulkerson Md NPPES

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

DR. ABIGAIL LORRAINE FULKERSON MD (NPI 1104767698) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104767698

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ABIGAIL LORRAINE FULKERSONCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address920 Madison Ave Ste 447Memphis, TN 38103-3438 · (901) 448-4508

Phone(901) 448-3714

Sole ProprietorNo

Enumeration DateApril 1, 2026

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1104767698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abigail Lorraine Fulkerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program