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FULTON SPORTS MEDICINE LLC
NPI 1801727441
Family Medicine - Sports Medicine in Ormond Beach, FL

Active since May 25, 2026
873 HULL RD UNIT 12, ORMOND BEACH, FL 32174(386) 267-2965(386) 603-6007 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fulton Sports Medicine Llc NPPES

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

FULTON SPORTS MEDICINE LLC (NPI 1801727441) is a healthcare organization registered as a sports medicine in Ormond Beach, Florida and active in the NPI registry since May 2026. The organization lists Brent Nelson Fulton, President, as its authorized official.

NPPES Registry Identity

NPI1801727441
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameFULTON SPORTS MEDICINE LLC
Location Address873 HULL RD UNIT 12Ormond Beach, FL 32174-0738
Mailing Address873 Hull Rd Unit 12Ormond Beach, FL 32174-0738 · (386) 267-2965 · Fax (386) 603-6007
Phone(386) 267-2965
Fax(386) 603-6007
Organization SubpartNo
Authorized OfficialBrent Nelson FultonPresident · (386) 267-2965
Enumeration DateMay 25, 2026
NPPES CertifiedMay 24, 2026
✔ NPI 1801727441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
873 HULL RD UNIT 12, Ormond Beach, FL 32174
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fulton Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fulton Sports Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brent Fulton, M.D.
Sports Medicine
NPI 1194708495
873 HULL RD UNIT 12
Ormond Beach, FL 32174
(386) 267-2965
✔ PECOS✔ Accepts MedicareSame address

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

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 Fulton Sports Medicine LLC's NPI number?

The NPI number for Fulton Sports Medicine LLC is 1801727441. It was assigned to this organization in the NPPES registry on May 25, 2026.

Where is Fulton Sports Medicine LLC located?

Fulton Sports Medicine LLC is located at 873 Hull Rd Unit 12, Ormond Beach, FL 32174. The listed phone number is (386) 267-2965.

What is Fulton Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Fulton Sports Medicine LLC enrolled in Medicare?

Yes. Fulton Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fulton Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Sports Medicine) reassigns their Medicare billing to Fulton Sports Medicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fulton Sports Medicine LLC was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.