BREA FULLER MD
NPI 1205539236
Family Medicine in Fayetteville, GA
About Brea Fuller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREA FULLER MD (NPI 1205539236) is an individual family medicine provider in Fayetteville, Georgia, licensed in Georgia (112690) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Douglasville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Brea Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Brea Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30214 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1250 Highway 54 W Ste 102, Fayetteville, GA 30214. The listed phone number is (770) 719-7060.
What is Brea Fuller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brea Fuller enrolled in Medicare?
Yes. Brea Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brea Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brea Fuller reassigns Medicare benefits to 2 organizations: Piedmont Professional Services, LLC (Stockbridge, GA) and Piedmont Medical Care Corporation (Atlanta, GA). 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 Brea Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brea Fuller accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Brea 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.
When was this NPI record last updated?
The NPPES record for Brea Fuller was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Brea Fuller, MD · NPI 1205539236
Family Medicine physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1205539236 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 112690 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 HIGHWAY 54 W STE 102, Fayetteville, GA 30214-4540
- **Phone:** (770) 719-7060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA); Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205539236) · Data from the CMS NPPES public registry.