BREA FULLER
NPI 1205539236
Student in an Organized Health Care Education/Training Program in Douglasville, GA

Active since March 27, 2023
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134(470) 644-6000 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brea Fuller NPPES

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

BREA FULLER (NPI 1205539236) is an individual student in an organized health care education/training program in Douglasville, Georgia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1205539236
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREA FULLER
Location Address8954 HOSPITAL DRDouglasville, GA 30134-2272
Mailing Address8954 Hospital DrDouglasville, GA 30134-2272
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
NPI 1205539236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

8954 HOSPITAL DR, Douglasville, GA 30134

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.

Nurse Practitioner (Family)
8954 HOSPITAL DR, BUILDING B, SUITE 115
DOUGLASVILLE, GA 30134
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Nurse Practitioner (Family)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Physical Therapist
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Internal Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Family Medicine
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Anesthesiology
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134
Physician Assistant (Medical)
8954 HOSPITAL DR
DOUGLASVILLE, GA 30134

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 Brea Fuller's NPI number?

The NPI number for Brea Fuller is 1205539236. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Brea Fuller located?

Brea Fuller practices at 8954 Hospital Dr, Douglasville, GA 30134. The listed phone number is (470) 644-6000.

What is Brea Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Brea Fuller was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.