MR. JOHN RICHARD FULLICK PAC
NPI 1407956360
Physician Assistant in Columbus, GA

Q: What is John Fullick's NPI number?

The NPI number for John Fullick is 1407956360. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is John Fullick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Fullick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 22, 2006

2100 COMER AVE, COLUMBUS, GA 31904(706) 596-5737(706) 596-5727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. John Richard Fullick Pac NPPES

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

MR. JOHN RICHARD FULLICK PAC (NPI 1407956360) is an individual physician assistant in Columbus, Georgia, licensed in Georgia (1307) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1407956360

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHN RICHARD FULLICKCredential: PAC

Location Address2100 COMER AVEColumbus, GA 31904

Mailing AddressPo Box 5328Columbus, GA 31906 · (706) 596-5737 · Fax (706) 596-5727

Phone(706) 596-5737

Fax(706) 596-5727

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407956360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in GA · 1307✔ Licensed in FL · PA2857

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2100 COMER AVE, Columbus, GA 31904

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Other Identifiers 2

Medicare UPINS06356

Medicare ID-Type Unspecified97BBCKR

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.

JACQUELINE STROTHER

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