TAYLOR DAVIS FULKS DO
NPI 1295300085
Family Medicine in Hattiesburg, MS

Active since May 24, 2021PECOS EnrolledAccepts Medicare Assignment
415 S 28TH AVE FL 1, HATTIESBURG, MS 39401(601) 288-5200 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Jun 16, 2023, May 24, 2021 (3 updates tracked since 2021).

About Taylor Davis Fulks Do NPPES

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

TAYLOR DAVIS FULKS DO (NPI 1295300085) is an individual family medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (30159) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295300085
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTAYLOR DAVIS FULKSCredential: DO
Location Address415 S 28TH AVE FL 1Hattiesburg, MS 39401-7246
Mailing AddressPo Box 15722Hattiesburg, MS 39404-5722 · (601) 288-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 24, 2021
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1295300085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 30159
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
415 S 28TH AVE FL 1, Hattiesburg, MS 39401

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

Taylor Davis Fulks Do 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 ID2769870237
PECOS Enrollment IDI20250115002144
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services23 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
20 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Highland Community Hospital

Acute Care Hospitals · Picayune, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250117
Location130 Highland PkwyPicayune, MS 39466 · Pearl River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier23 claims23 services$200.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Social Worker
415 S 28TH AVE FL 1
HATTIESBURG, MS 39401
Social Worker
415 S 28TH AVE FL 1
HATTIESBURG, MS 39401
Family Medicine
415 S 28TH AVE FL 1
HATTIESBURG, MS 39401
Family Medicine
415 S 28TH AVE FL 1
HATTIESBURG, MS 39401

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 Taylor Fulks's NPI number?

The NPI number for Taylor Fulks is 1295300085. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Taylor Fulks located?

Taylor Fulks practices at 415 S 28th Ave Fl 1, Hattiesburg, MS 39401. The listed phone number is (601) 288-5200.

What is Taylor Fulks's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Taylor Fulks enrolled in Medicare?

Yes. Taylor Fulks 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 Taylor Fulks accept?

Health plans from Molina Healthcare list Taylor Fulks 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 Taylor Fulks affiliated with any hospitals?

According to CMS data, Taylor Fulks is affiliated with Forrest General Hospital and Highland Community Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Fulks was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.