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SHAKIA COOKS FULLER LAPC
NPI 1295379907
Counselor - Mental Health in Hephzibah, GA

Active since November 05, 2019PECOS EnrolledAccepts Medicare Assignment
2705 DAVIS MILL RD, HEPHZIBAH, GA 30815(706) 414-8257 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shakia Cooks Fuller Lapc NPPES

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

SHAKIA COOKS FULLER LAPC (NPI 1295379907) is an individual mental health provider in Hephzibah, Georgia, licensed in Georgia (APC006925) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295379907
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAKIA COOKS FULLERCredential: LAPC
Location Address2705 DAVIS MILL RDHephzibah, GA 30815-6912
Mailing Address2705 Davis Mill RdHephzibah, GA 30815-6912
Phone(706) 414-8257
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 5, 2019
✔ NPI 1295379907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC006925
2705 DAVIS MILL RD, Hephzibah, GA 30815
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Shakia Cooks Fuller Lapc 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 ID8224559273
PECOS Enrollment IDI20250306000266
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.

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 Shakia Fuller's NPI number?

The NPI number for Shakia Fuller is 1295379907. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Shakia Fuller located?

Shakia Fuller practices at 2705 Davis Mill Rd, Hephzibah, GA 30815. The listed phone number is (706) 414-8257.

What is Shakia Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shakia Fuller enrolled in Medicare?

Yes. Shakia 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.

When was this NPI record last updated?

The NPPES record for Shakia Fuller was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.