THOMAS SCOTT FULLER AA-C
NPI 1457788697
Anesthesiologist Assistant in Roswell, GA
About Thomas Scott Fuller Aa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS SCOTT FULLER AA-C (NPI 1457788697) is an individual anesthesiologist assistant in Roswell, Georgia, licensed in Georgia (1574) and active in the NPI registry since October 2013. He is affiliated with Wellstar North Fulton Hospital and is a graduate of Emory University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Scott Fuller Aa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Fuller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 213 clinicians in this Medicare group
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Atlanta, GA 30312
- Reassigned Medicare billing, Georgia enrollment
- 49 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAFrequently 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 Thomas Fuller's NPI number?
The NPI number for Thomas Fuller is 1457788697. It was assigned to this individual provider in the NPPES registry on October 2, 2013.
Where is Thomas Fuller located?
Thomas Fuller practices at 650 Wood Valley Trce, Roswell, GA 30076. The listed phone number is (404) 683-0907.
What is Thomas Fuller's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Thomas Fuller enrolled in Medicare?
Yes. Thomas Fuller is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Thomas Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Fuller reassigns Medicare benefits to 4 organizations: Mak Anesthesia Georgia, LLC (Kennesaw, GA), Mak Anesthesia Holdings LLC (Kennesaw, GA), Northlake Anesthesia Professionals, LLC (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Thomas Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Fuller accept?
Health plans from Oscar Health list Thomas Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Thomas Fuller affiliated with any hospitals?
According to CMS data, Thomas Fuller is affiliated with Wellstar North Fulton Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Fuller was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Thomas Scott Fuller, AA-C · NPI 1457788697
Anesthesiologist Assistant physician in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since October 2, 2013.
## Identity
- **NPI:** 1457788697 (Entity type: Individual)
- **Enumerated:** October 2, 2013
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 1574 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 WOOD VALLEY TRCE, Roswell, GA 30076-2672
- **Phone:** (404) 683-0907
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mak Anesthesia Georgia, LLC (NPI 1609390103, Kennesaw, GA); Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); Northlake Anesthesia Professionals, LLC (NPI 1982637419, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** October 2, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1457788697) · Data from the CMS NPPES public registry.