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AVERIE CAROLINE FULLER
NPI 1598649436
Nurse Practitioner in Marietta, GA

Active since August 04, 2025PECOS EnrolledAccepts Medicare Assignment
175 WHITE ST NW, MARIETTA, GA 30060(470) 793-0200 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Averie Caroline Fuller NPPES

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

AVERIE CAROLINE FULLER (NPI 1598649436) is an individual nurse practitioner in Marietta, Georgia, licensed in Georgia (RN290105) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598649436
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAVERIE CAROLINE FULLER
Location Address175 WHITE ST NWMarietta, GA 30060-1053
Mailing Address1808 Baynard Ct NwAcworth, GA 30102-6463 · (770) 617-8483
Phone(470) 793-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1598649436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN290105
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
175 WHITE ST NW, Marietta, GA 30060
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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

Averie Caroline 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 ID9537651997
PECOS Enrollment IDI20251122001722
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 30060 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 5

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

MARIETTA SMILES LLC
Clinic/Center (Dental)
175 WHITE ST NW, SUITE 300
MARIETTA, GA 30060
Cobb County (770) 422-6521
SCOTTISH RITE CHILDREN'S MEDICAL CENTER
Rehabilitation Unit
175 WHITE ST NW, SUITE 350
MARIETTA, GA 30060
Cobb County (404) 785-8250
DR. ANTONIO NUNEZ JR. D.D.S.
Dentist (General Practice)
175 WHITE ST NW, SUITE 300
MARIETTA, GA 30060
Cobb County (770) 422-6521
AMANDA PARKINSON LCSW
Social Worker (Clinical)
175 WHITE ST NW
MARIETTA, GA 30060
Cobb County (470) 793-0212
YOUSSEF NASR M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
175 WHITE ST NW
MARIETTA, GA 30060
Cobb County (470) 793-0200

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 Averie Fuller's NPI number?

The NPI number for Averie Fuller is 1598649436. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Averie Fuller located?

Averie Fuller practices at 175 White St NW, Marietta, GA 30060. The listed phone number is (470) 793-0200.

What is Averie Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Averie Fuller enrolled in Medicare?

Yes. Averie Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Averie Fuller was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.