COURTNEY FULLER PMHNP-BC
NPI 1235024951
Nurse Practitioner - Psychiatric/Mental Health in Statesboro, GA

Q: What is Courtney Fuller's NPI number?

The NPI number for Courtney Fuller is 1235024951. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Q: What is Courtney Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Fuller was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 11, 2025PECOS Enrolled

1332 SOUTHERN DR, STATESBORO, GA 30460(912) 901-7489 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Courtney Fuller Pmhnp-bc NPPES

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

COURTNEY FULLER PMHNP-BC (NPI 1235024951) is an individual psychiatric/mental health provider in Statesboro, Georgia, licensed in Georgia (RN264235) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jesup.

NPPES Registry Identity

NPI1235024951

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCOURTNEY FULLERCredential: PMHNP-BC

Location Address1332 SOUTHERN DRStatesboro, GA 30460-1360

Mailing Address1332 Southern DrStatesboro, GA 30460-1360

Phone(912) 901-7489

Sole ProprietorYes

Enumeration DateJune 11, 2025

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1235024951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN264235

1332 SOUTHERN DR, Statesboro, GA 30460

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Secondary Practice Location 1

Location 1191 SE Broad StJesup, GA 31546-4628 · Phone (912) 559-2710 · Fax (912) 216-3672

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Fuller Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30460 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 20

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

AMBER STROUD

Registered Nurse (Neonatal Intensive Care)