DR. WILLIAM TYLER FULLER MD
NPI 1205323177
Internal Medicine - Pulmonary Disease in Jackson, MS
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show William Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 136 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 48 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.
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.
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, MSSouthwest Ms Regional Medical Center
Acute Care Hospitals · Mccomb, MSMississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSMerit Health River Oaks
Acute Care Hospitals · Flowood, MSPhysician 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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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.
Which organizations bill Medicare for William Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Fuller reassigns Medicare benefits to 2 organizations: St Dominic Medical Associates LLC (Jackson, MS) and Jackson Pulmonary Associates, PA (Jackson, MS). Each 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 William Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Fuller accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers 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 10 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.
# Dr. William Tyler Fuller, MD · NPI 1205323177
Pulmonary Disease physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1205323177 (Entity type: Individual)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 29088 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 LAKELAND DR STE 1052, Jackson, MS 39216-4609
- **Phone:** (601) 981-9503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Dominic Medical Associates LLC (NPI 1285987578, Jackson, MS); Jackson Pulmonary Associates, PA (NPI 1174570584, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205323177) · Data from the CMS NPPES public registry.