JONATHAN FULLER PA
NPI 1801229745
Physician Assistant - Medical in Thomasville, GA
- Individual
- Male
- Physician Assistant
- Medical
- PECOS Enrolled
About JONATHAN FULLER
This page provides the complete NPI Profile along with additional information for Jonathan Fuller, a primary care provider established in Thomasville, Georgia with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1801229745 assigned on August 2013. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1801229745 Verify this NPI
- Provider Name
- JONATHAN FULLER PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 915 GORDON AVE RM 206208 THOMASVILLE, GA 31792
- Location Phone
- (229) 228-2799
- Mailing Address
- 3560 W PINETREE BLVD THOMASVILLE, GA 31792
- Mailing Phone
- (850) 445-0918
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2013
- Last Update Date
- 06-13-2019
- Code Navigator
A primary care provider (PCP) like Jonathan Fuller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Medicare Participation & PECOS Enrollment Status
Jonathan Fuller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
3 DME suppliers used 62 Medicare Claims 62 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 68 Medicare Claims 68 Services Paid
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
THOMASVILLE, GA 31792
THOMASVILLE, GA 31792
THOMASVILLE, GA 31792
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801229745, enumerated as an "individual" on August 14, 2013.
The provider is located at 915 GORDON AVE RM 206208 THOMASVILLE, GA 31792 and the phone number is (229) 228-2799.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
