1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMA FULLER
NPI 1386609477
Pediatrics in Atlanta, GA

Active since April 20, 2006
1100 LAKE HEARN DR NE, SUITE 100, ATLANTA, GA 30342(404) 256-3178(404) 256-3583 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tama Fuller NPPES

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

TAMA FULLER (NPI 1386609477) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (021981) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1386609477
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTAMA FULLER
Location Address1100 LAKE HEARN DR NE, SUITE 100Atlanta, GA 30342-1523
Mailing Address1100 Lake Hearn Dr Ne, Suite 100Atlanta, GA 30342-1523 · (404) 256-3178 · Fax (404) 256-3583
Phone(404) 256-3178
Fax(404) 256-3583
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386609477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 021981
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1100 LAKE HEARN DR NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 5

Other4303744Aetna Capitated
Other550624Aetna
Other158759Blue Cross Blue Shield
Other691301Cigna Healthcare
Other40467Great West

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.

LISA MARIE BECKER R.T.-C
Respiratory Therapist, Certified
1100 LAKE HEARN DR NE, STE #450
ATLANTA, GA 30342
Fulton County (404) 252-7339
PHILIP S WEISS MD
Pediatrics
1100 LAKE HEARN DR NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 256-3178
CHANEL SHELTON JOHNSON RN
Registered Nurse (Pediatrics)
1100 LAKE HEARN DR NE, SUITE 450
ATLANTA, GA 30342
Fulton County (404) 252-7339
NORTH ATLANTA PEDIATRIC ASSOCIATES, P.C.
Specialist
1100 LAKE HEARN DR NE, STE. 100
ATLANTA, GA 30342
Fulton County (404) 256-3178
MR. WILLIAM M STADER R.T.
Respiratory Therapist, Certified
1100 LAKE HEARN DR NE, SUITE #450
ATLANTA, GA 30342
Fulton County (404) 252-7339
MRS. SARAH ALICIA LOVELACE PMHNP-BC
Registered Nurse (Pediatrics)
1100 LAKE HEARN DR NE, SUITE 450
ATLANTA, GA 30342
Fulton County (404) 252-7339
ELEANOR COCHRANE SULLIVAN CPNP
Nurse Practitioner (Pediatrics)
1100 LAKE HEARN DR NE, STE 100
ATLANTA, GA 30342
Fulton County (404) 256-3178
ROSLYN POLLARD KONTER CPNP
Nurse Practitioner (Pediatrics)
1100 LAKE HEARN DR NE, STE 100
ATLANTA, GA 30342
Fulton County (404) 256-3175

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 Tama Fuller's NPI number?

The NPI number for Tama Fuller is 1386609477. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Tama Fuller located?

Tama Fuller practices at 1100 Lake Hearn Dr NE Suite 100, Atlanta, GA 30342. The listed phone number is (404) 256-3178.

What is Tama Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Tama Fuller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.