JULIUS TIMOTHY FULENWIDER MD
NPI 1124021787
Surgery - Vascular Surgery in Gainesville, GA

NPI Status: Active since May 27, 2005

Contact Information

1075 JESSE JEWELL PKWY NE
STE B
GAINESVILLE, GA
ZIP 30501
Phone: (770) 536-5733
Fax: (770) 534-2114

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  • Individual
  • Male
  • Surgery
  • Vascular Surgery

About JULIUS FULENWIDER

This page provides the complete NPI Profile along with additional information for Julius Fulenwider, a provider established in Gainesville, Georgia with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1124021787 assigned on May 2005. The practitioner's primary taxonomy code is 2086S0129X with license number 017181 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1124021787
Provider Name
JULIUS TIMOTHY FULENWIDER MD
Other Name
JULIUS T FULENWIDER M.D.
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
1075 JESSE JEWELL PKWY NE STE B GAINESVILLE, GA 30501
Location Phone
(770) 536-5733
Location Fax
(770) 534-2114
Mailing Address
PO BOX 742616 ATLANTA, GA 30374
Mailing Phone
(770) 219-8420
Mailing Fax
(770) 534-2114
Is Sole Proprietor?
No
Enumeration Date
05-27-2005
Last Update Date
12-09-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
017181
License State
GA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

017181 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
$$$$$$$$$DMEDICARE PIN (08)GA 
00199086CMEDICAID (05)GA 
D29510MEDICARE UPIN (02)GA 

Reviews for JULIUS TIMOTHY FULENWIDER MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124021787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144022716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 2 + 2 + 7 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1124021787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

JAMES RAYMOND LOVETT PA-C

Physician Assistant

(Surgical)

1075 JESSE JEWELL PKWY NE
SUITE B
GAINESVILLE, GA
ZIP 30501

(770) 536-5733

DR. CUONG DUY NGUYEN MD

Surgery

1075 JESSE JEWELL PKWY NE
STE B
GAINESVILLE, GA
ZIP 30501

(770) 536-5733

CASEY J GRAYBEAL MD

Surgery

1075 JESSE JEWELL PKWY NE
STE B
GAINESVILLE, GA
ZIP 30501

(770) 536-5733

PIERPONT F BROWN III MD

Surgery

1075 JESSE JEWELL PKWY NE
STE B
GAINESVILLE, GA
ZIP 30501

(770) 536-5733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124021787, enumerated as an "individual" on May 27, 2005.

The provider is located at 1075 JESSE JEWELL PKWY NE STE B GAINESVILLE, GA 30501 and the phone number is (770) 536-5733.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.