JEREMY ALEX FULLER NP
NPI 1841821162
Nurse Practitioner - Family in Greenville, SC

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
6119 WHITE HORSE RD STE 14, GREENVILLE, SC 29611(864) 614-7001 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jun 13, 2024, Feb 7, 2022 and 1 more (4 updates tracked since 2020).

About Jeremy Alex Fuller Np NPPES

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

JEREMY ALEX FULLER NP (NPI 1841821162) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (23635) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841821162
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY ALEX FULLERCredential: NP
Location Address6119 WHITE HORSE RD STE 14Greenville, SC 29611-3838
Mailing AddressPo Box 740013Atlanta, GA 30374-0013 · (312) 733-9730
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1841821162 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 SC · 23635
6119 WHITE HORSE RD STE 14, Greenville, SC 29611

Secondary Practice Locations 2

Location 1300 W Butler RdMauldin, SC 29662-2585 · Phone (864) 991-9016 ext. 86499
Location 21200 Woodruff Rd. Blg A3, Ste 196Greenville, SC 29607 · Phone (864) 301-6872

Accepted Insurance

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

Jeremy Alex Fuller Np 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 ID4082041660
PECOS Enrollment IDI20200220000004
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29611 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$23.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Clinic/Center (Primary Care)
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Nurse Practitioner (Family)
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Internal Medicine
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Nurse Practitioner (Family)
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Nurse Practitioner (Family)
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Nurse Practitioner (Family)
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611
Family Medicine
6119 WHITE HORSE RD STE 14
GREENVILLE, SC 29611

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 Jeremy Fuller's NPI number?

The NPI number for Jeremy Fuller is 1841821162. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Jeremy Fuller located?

Jeremy Fuller practices at 6119 White Horse Rd Ste 14, Greenville, SC 29611. The listed phone number is (864) 614-7001.

What is Jeremy Fuller's specialty?

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

Is Jeremy Fuller enrolled in Medicare?

Yes. Jeremy 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.

What insurance does Jeremy Fuller accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Jeremy Fuller 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.

Is Jeremy Fuller affiliated with any hospitals?

According to CMS data, Jeremy Fuller is affiliated with St Francis-Downtown and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Fuller was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.