Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA J FULLER RN,FNP
NPI 1528058385
Nurse Practitioner - Family in Demorest, GA

Active since October 24, 2005PECOS Enrolled
590 HISTORIC OLD HWY 441, DEMOREST, GA 30535(706) 754-5511(706) 754-5577 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea J Fuller Rn,fnp NPPES

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

ANDREA J FULLER RN,FNP (NPI 1528058385) is an individual family provider in Demorest, Georgia, licensed in Georgia (098416) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528058385
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA J FULLERCredential: RN,FNP
Location Address590 HISTORIC OLD HWY 441Demorest, GA 30535
Mailing Address590 Historic Hwy 441 N.Demorest, GA 30535 · (706) 754-5511 · Fax (706) 754-5577
Fax(706) 754-5577
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1528058385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 098416
590 HISTORIC OLD HWY 441, Demorest, GA 30535

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea J Fuller Rn,fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Fuller's NPI number?

The NPI number for Andrea Fuller is 1528058385. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Andrea Fuller located?

Andrea Fuller practices at 590 Historic Old Hwy 441, Demorest, GA 30535. The listed phone number is (706) 754-5511.

What is Andrea Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Fuller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrea 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 38 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.