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KIMBERLY TILLMAN FULMER
NPI 1780348060
Nurse Practitioner in Metter, GA

Active since October 24, 2021PECOS Enrolled
34 NW BROAD ST, METTER, GA 30439(912) 685-4040 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Feb 10, 2023, Oct 24, 2021 (3 updates tracked since 2021).

About Kimberly Tillman Fulmer NPPES

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

KIMBERLY TILLMAN FULMER (NPI 1780348060) is an individual nurse practitioner in Metter, Georgia, licensed in Georgia (RN139827) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Swainsboro.

NPPES Registry Identity

NPI1780348060
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY TILLMAN FULMER
Location Address34 NW BROAD STMetter, GA 30439-4025
Mailing Address739 Burton AveMetter, GA 30439-3303 · (912) 690-2652 · Fax (833) 637-2036
Phone(912) 685-4040
Sole ProprietorNo
Enumeration DateOctober 24, 2021
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1780348060 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 · RN139827
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.
34 NW BROAD ST, Metter, GA 30439
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Secondary Practice Location 1

Location 1856 US Highway 1 SSwainsboro, GA 30401-4984 · Phone (478) 237-7022 · Fax (833) 637-2036

Other Identifiers 1

Other1780348060GA · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Tillman Fulmer 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Fulmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Georgia Healthcare Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
34 NW BROAD ST
Metter, GA 30439
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1821270323 (912) 685-4040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30439 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.

Other Providers at the Same Location NPPES 2

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

MRS. PHYLLIS FRANKLIN DIXON FNP-C
Nurse Practitioner (Family)
34 NW BROAD ST
METTER, GA 30439
Candler County (912) 685-4040
EAST GEORGIA HEALTHCARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
34 NW BROAD ST
METTER, GA 30439
Candler County (912) 685-4040

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 Kimberly Fulmer's NPI number?

The NPI number for Kimberly Fulmer is 1780348060. It was assigned to this individual provider in the NPPES registry on October 24, 2021.

Where is Kimberly Fulmer located?

Kimberly Fulmer practices at 34 NW Broad St, Metter, GA 30439. The listed phone number is (912) 685-4040.

What is Kimberly Fulmer's specialty?

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

Is Kimberly Fulmer enrolled in Medicare?

Yes. Kimberly Fulmer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Fulmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fulmer reassigns Medicare benefits to East Georgia Healthcare Center, Inc. (Metter, GA). The 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 Kimberly Fulmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fulmer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kimberly Fulmer 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.

When was this NPI record last updated?

The NPPES record for Kimberly Fulmer was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.