MS. TEAWKA FULLMORE NP-C
NPI 1861884215
Nurse Practitioner - Family in Atlanta, GA
About Ms. Teawka Fullmore Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TEAWKA FULLMORE NP-C (NPI 1861884215) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN176193) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Teawka Fullmore Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Teawka Fullmore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alpharetta, GA 30009
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 137 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: St Vincent's Ambulatory Care Inc
- 56 clinicians in this Medicare group
Jacksonville, FL 32257
- Reassigned Medicare billing, Georgia enrollment
- 15 clinicians in this Medicare group
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 30339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
ATLANTA, GA 30339
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 Teawka Fullmore's NPI number?
The NPI number for Teawka Fullmore is 1861884215. It was assigned to this individual provider in the NPPES registry on February 23, 2015.
Where is Teawka Fullmore located?
Teawka Fullmore practices at 1000 Parkwood Cir SE Ste 900, Atlanta, GA 30339. The listed phone number is (480) 862-1700.
What is Teawka Fullmore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teawka Fullmore enrolled in Medicare?
Yes. Teawka Fullmore is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Teawka Fullmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teawka Fullmore reassigns Medicare benefits to 5 organizations: Srm Counseling & Therapeutic Services, LLC (Alpharetta, GA), Christopher Dennis MD PLLC (Johns Creek, GA), Community Care Health Network LLC (Nashville, TN), St Vincents Ambulatory Care Inc (Jacksonville, FL) and St Vincent's Full Service Urgent Care, LLC (Jacksonville, FL). Each 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 Teawka Fullmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Teawka Fullmore was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Teawka Fullmore, NP-C · NPI 1861884215
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 23, 2015.
## Identity
- **NPI:** 1861884215 (Entity type: Individual)
- **Enumerated:** February 23, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN176193 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 PARKWOOD CIR SE STE 900, Atlanta, GA 30339-2140
- **Phone:** (480) 862-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Srm Counseling & Therapeutic Services, LLC (NPI 1396114880, Alpharetta, GA); Christopher Dennis MD PLLC (NPI 1588090229, Johns Creek, GA); Community Care Health Network LLC (NPI 1619368842, Nashville, TN); St Vincents Ambulatory Care Inc (NPI 1417987124, Jacksonville, FL); St Vincent's Full Service Urgent Care, LLC (NPI 1750672051, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
- **Other identifiers:** Other CG6045 (GA); Other 1144420530 (GA); Other 1861884215 (GA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1861884215) · Data from the CMS NPPES public registry.