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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATHAN FULLER LPC014076
NPI 1841867595
Clinic/Center - Adult Mental Health in Clarkesville, GA

Active since June 09, 2021
224 HERSHELS WAY, CLARKESVILLE, GA 30523(912) 695-5020 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Nathan Fuller Lpc014076 NPPES

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

NATHAN FULLER LPC014076 (NPI 1841867595) is an individual adult mental health provider in Clarkesville, Georgia, licensed in Georgia (LPC014076) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1841867595
Entity TypeIndividualMale
Primary Taxonomy261QM0850X
Provider Legal NameNATHAN FULLERCredential: LPC014076
Location Address224 HERSHELS WAYClarkesville, GA 30523-4169
Mailing Address224 Hershels WayClarkesville, GA 30523-4169 · (912) 695-5020
Phone(912) 695-5020
Sole ProprietorYes
Enumeration DateJune 9, 2021
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1841867595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in GA · LPC014076
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
224 HERSHELS WAY, Clarkesville, GA 30523
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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 Nathan Fuller's NPI number?

The NPI number for Nathan Fuller is 1841867595. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Nathan Fuller located?

Nathan Fuller practices at 224 Hershels Way, Clarkesville, GA 30523. The listed phone number is (912) 695-5020.

What is Nathan Fuller's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Nathan Fuller was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.