ISAAC FULLER
NPI 1427806116
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since May 08, 2024PECOS Enrolled
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203(803) 434-6771 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Isaac Fuller NPPES

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

ISAAC FULLER (NPI 1427806116) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1427806116
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameISAAC FULLER
Location Address14 RICHLAND MEDICAL PARK DR STE 320Columbia, SC 29203-6896
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (803) 434-6771
Sole ProprietorYes
Enumeration DateMay 8, 2024
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1427806116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 6177 (SC)
14 RICHLAND MEDICAL PARK DR STE 320, Columbia, SC 29203

Secondary Practice Location 1

Location 11800 Novell PlProvo, UT 84606-6171 · Phone (480) 708-6558

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Isaac Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Hospitalist
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Nurse Practitioner (Adult Health)
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203

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 Isaac Fuller's NPI number?

The NPI number for Isaac Fuller is 1427806116. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Isaac Fuller located?

Isaac Fuller practices at 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203. The listed phone number is (803) 434-6771.

What is Isaac Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Isaac Fuller enrolled in Medicare?

Yes. Isaac Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isaac Fuller was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.