MARY JANE FULLWOOD MD
NPI 1306208954
Family Medicine in Selmer, TN

Q: What is Mary Fullwood's NPI number?

The NPI number for Mary Fullwood is 1306208954. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Mary Fullwood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Fullwood was last updated on December 22, 2023. 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.

Active since March 23, 2016PECOS Enrolled

832 MULBERRY AVE, SELMER, TN 38375(731) 434-0200(731) 434-0203 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Jan 27, 2020, Oct 29, 2019 and 4 more (7 updates tracked since 2016).

On this page

About Mary Jane Fullwood Md NPPES

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

MARY JANE FULLWOOD MD (NPI 1306208954) is an individual family medicine provider in Selmer, Tennessee, licensed in Tennessee (56645) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Magnolia Regional Health Center, and maintains a secondary practice location in Selmer.

NPPES Registry Identity

NPI1306208954

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY JANE FULLWOODCredential: MD

Location Address832 MULBERRY AVESelmer, TN 38375-2334

Mailing Address832 Mulberry AveSelmer, TN 38375-2334 · (731) 434-0200 · Fax (731) 434-0203

Phone(731) 434-0200

Fax(731) 434-0203

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016

Enumeration DateMarch 23, 2016

Last NPPES UpdateDecember 22, 20237 updates tracked since enumeration

NPPES CertifiedDecember 22, 2023

✔ NPI 1306208954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 56645

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.

832 MULBERRY AVE, Selmer, TN 38375

Open in Google Maps ↗

Secondary Practice Location 1

Location 1220 Oakgrove RdSelmer, TN 38375 · Phone (731) 646-3699 · Fax (731) 646-3687

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jane Fullwood Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254624554

PECOS Enrollment IDI20191030000848

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 3

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

34 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services15 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250009

Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County

Emergency services Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Hardin Medical Center

Acute Care Hospitals · Savannah, TN

OwnershipGovernment - Local

CMS Certification Number440109

Location935 Wayne RoadSavannah, TN 38372 · Hardin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38375 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 2

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers34 claims44 services$7.73 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$45.63 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 3

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

TRINITY MEDICAL CLINIC, LLC

Nurse Practitioner (Family)

832 MULBERRY AVE
SELMER, TN 38375

McNairy County (731) 434-0200

RHONDA L HUNT FNP-BC

Nurse Practitioner (Family)

832 MULBERRY AVE
SELMER, TN 38375

McNairy County (731) 434-0200

CARIE ALLISON COX A.P.N.

Nurse Practitioner (Family)

832 MULBERRY AVE
SELMER, TN 38375

McNairy County (731) 434-0200

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 Mary Fullwood's NPI number?

The NPI number for Mary Fullwood is 1306208954. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mary Fullwood located?

Mary Fullwood practices at 832 Mulberry Ave, Selmer, TN 38375. The listed phone number is (731) 434-0200.

What is Mary Fullwood's specialty?

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

Is Mary Fullwood enrolled in Medicare?

Yes. Mary Fullwood is registered in the Medicare PECOS enrollment system.

What insurance does Mary Fullwood accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Mary Fullwood 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 Mary Fullwood affiliated with any hospitals?

According to CMS data, Mary Fullwood is affiliated with Magnolia Regional Health Center, Jackson-Madison County General Hospital and Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Fullwood was last updated on December 22, 2023. 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.