LISA BARRY FULLER
NPI 1407407372
Counselor - Professional in Dothan, AL

Q: What is Lisa Fuller's NPI number?

The NPI number for Lisa Fuller is 1407407372. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Lisa Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fuller was last updated on September 23, 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.

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment

1672 COLUMBIA HWY, DOTHAN, AL 36303(334) 712-6400(334) 712-2676 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Barry Fuller NPPES

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

LISA BARRY FULLER (NPI 1407407372) is an individual professional provider in Dothan, Alabama, licensed in Alabama (3364) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1407407372

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA BARRY FULLER

Location Address1672 COLUMBIA HWYDothan, AL 36303-5434

Mailing Address1672 Columbia HwyDothan, AL 36303-5434 · (334) 712-6400 · Fax (334) 712-2676

Phone(334) 712-6400

Fax(334) 712-2676

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 23, 2019

✔ NPI 1407407372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AL · 3364

1672 COLUMBIA HWY, Dothan, AL 36303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Lisa Barry Fuller 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 ID345684197

PECOS Enrollment IDI20240220002272

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.

Other Providers at the Same Location NPPES 13

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

STEPHANIE PARRISH MD

Psychiatry & Neurology (Psychiatry)