MARISSA FULLARD
NPI 1124840798
Occupational Therapist in Manning, SC
About Marissa Fullard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA FULLARD (NPI 1124840798) is an individual occupational therapist in Manning, South Carolina, licensed in South Carolina (7409) and active in the NPI registry since October 2024.
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)
Marissa Fullard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marissa Fullard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manning, SC 29102
- Reassigned Medicare billing, South Carolina enrollment
- 5 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANNING, SC 29102
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 Marissa Fullard's NPI number?
The NPI number for Marissa Fullard is 1124840798. It was assigned to this individual provider in the NPPES registry on October 25, 2024.
Where is Marissa Fullard located?
Marissa Fullard practices at 297 W Boyce St, Manning, SC 29102. The listed phone number is (803) 433-9001.
What is Marissa Fullard's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Marissa Fullard enrolled in Medicare?
Yes. Marissa Fullard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marissa Fullard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Fullard reassigns Medicare benefits to Southern Lakes Therapy LLC (Manning, SC). The 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 Marissa Fullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Fullard accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Marissa Fullard 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 Marissa Fullard was last updated on October 25, 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.