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DR. MARK B FULLERTON D.C.
NPI 1336290261
Chiropractor in Woodruff, SC

Active since January 16, 2007Accepts Medicare Assignment
109 S MAIN ST, WOODRUFF, SC 29388(864) 476-2200(864) 476-0757 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark B Fullerton D.c. NPPES

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

DR. MARK B FULLERTON D.C. (NPI 1336290261) is an individual chiropractor in Woodruff, South Carolina, licensed in South Carolina (1130) and active in the NPI registry since January 2007. He is a graduate of Sherman College Of Straight Chiropractic (1984).

NPPES Registry Identity

NPI1336290261
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK B FULLERTONCredential: D.C.
Location Address109 S MAIN STWoodruff, SC 29388-1849
Mailing Address109 S Main StWoodruff, SC 29388-1849 · (864) 476-2200 · Fax (864) 476-0757
Phone(864) 476-2200
Fax(864) 476-0757
Sole ProprietorYes
Medical School CMSSherman College Of Straight ChiropracticGraduated 1984
Enumeration DateJanuary 16, 2007
Last NPPES UpdateNovember 21, 2007
✔ NPI 1336290261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in SC · 1130✔ Licensed in PA · DC-002887-L
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
109 S MAIN ST, Woodruff, SC 29388
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Other Identifiers 1

MedicaidCH1130SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark B Fullerton D.c. 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 ID5092981696
PECOS Enrollment IDI20120110000083

Medicare Billing Reassignment

Medicare enrollment records show Mark Fullerton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark B Fullerton
Same address
Chiropractor
109 S MAIN ST
Woodruff, SC 29388
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1659550085 (864) 476-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
543 services43 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
13 services12 patients

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.

PRIMARY SPINE AND INJURY CORP
Chiropractor
109 S MAIN ST
WOODRUFF, SC 29388
Spartanburg County (864) 230-6066
MS. DIANE J SCHLAFLY L.M.T.
Massage Therapist
109 S MAIN ST
WOODRUFF, SC 29388
Spartanburg County (864) 476-2223
MARK B FULLERTON
Chiropractor
109 S MAIN ST
WOODRUFF, SC 29388
Spartanburg County (864) 476-2200
MS. FRANKIE GWINN MOORE M.ED., NCC
Counselor (Professional)
109 S MAIN ST
WOODRUFF, SC 29388
Spartanburg County (864) 476-2200

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 Mark Fullerton's NPI number?

The NPI number for Mark Fullerton is 1336290261. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mark Fullerton located?

Mark Fullerton practices at 109 S Main St, Woodruff, SC 29388. The listed phone number is (864) 476-2200.

What is Mark Fullerton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mark Fullerton enrolled in Medicare?

Yes. Mark Fullerton 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.

Which organization bills Medicare for Mark Fullerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fullerton reassigns Medicare benefits to Mark B Fullerton (Woodruff, SC). The 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 Mark Fullerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Fullerton was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.