DR. WILLIAM TYLER FULLER MD
NPI 1205323177
Internal Medicine - Pulmonary Disease in Jackson, MS

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
971 LAKELAND DR STE 1052, JACKSON, MS 39216(601) 981-9503 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Jul 24, 2024, Jun 19, 2024 and 2 more (5 updates tracked since 2018).

About Dr. William Tyler Fuller Md NPPES

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

DR. WILLIAM TYLER FULLER MD (NPI 1205323177) is an individual pulmonary disease provider in Jackson, Mississippi, licensed in Mississippi (29088) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1205323177
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. WILLIAM TYLER FULLERCredential: MD
Location Address971 LAKELAND DR STE 1052Jackson, MS 39216-4609
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5727 · Fax (225) 765-9196
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateApril 17, 2018
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1205323177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MS · 29088
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License T-3564 (MS)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 29088 (MS)
971 LAKELAND DR STE 1052, Jackson, MS 39216

Secondary Practice Location 1

Location 1971 Lakeland Dr Ste 250Jackson, MS 39216-4620 · Phone (601) 200-5864

Accepted 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

Dr. William Tyler Fuller Md 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 ID6406199405
PECOS Enrollment IDI20221027002851
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
277 services148 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
208 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services32 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
18 services18 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250138
Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Nurse Practitioner
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Nurse Practitioner (Acute Care)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Nurse Practitioner (Acute Care)
971 LAKELAND DR STE 1052
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1052
JACKSON, MS 39216

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 William Fuller's NPI number?

The NPI number for William Fuller is 1205323177. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is William Fuller located?

William Fuller practices at 971 Lakeland Dr Ste 1052, Jackson, MS 39216. The listed phone number is (601) 981-9503.

What is William Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is William Fuller enrolled in Medicare?

Yes. William Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Fuller accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list William 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.

Is William Fuller affiliated with any hospitals?

According to CMS data, William Fuller is affiliated with St Dominic-Jackson Memorial Hospital, Southwest Ms Regional Medical Center, Mississippi Baptist Medical Center and Merit Health River Oaks.

When was this NPI record last updated?

The NPPES record for William Fuller was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.