MORGAN E FULLER
NPI 1952988164
General Practice in Jacksonville, FL

Q: What is Morgan Fuller's NPI number?

The NPI number for Morgan Fuller is 1952988164. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Morgan Fuller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Morgan Fuller was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 24, 2021PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 7, 2025, Oct 30, 2023, Mar 24, 2021 (3 updates tracked since 2021).

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About Morgan E Fuller NPPES

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

MORGAN E FULLER (NPI 1952988164) is an individual general practice provider in Jacksonville, Florida, licensed in Tennessee (4798) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952988164

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMORGAN E FULLER

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7300

Phone(904) 542-7300

Sole ProprietorYes

Enumeration DateMarch 24, 2021

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1952988164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TN · 4798

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2080 CHILD ST, Jacksonville, FL 32214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Morgan E Fuller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)