| Kimberly Tillman Fulmer, | |
| 
					856 Us Highway 1 S, Swainsboro, GA 30401-4984  | |
| (478) 237-7022 | |
| (833) 637-2036 | 
| Full Name | Kimberly Tillman Fulmer | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 856 Us Highway 1 S, Swainsboro, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780348060 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN139827 (Georgia) | Primary | 
| Entity Name | East Georgia Healthcare Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Tillman Fulmer, 739 Burton Ave, Metter, GA 30439-3303 Ph: (912) 690-2652  | Kimberly Tillman Fulmer, 856 Us Highway 1 S, Swainsboro, GA 30401-4984 Ph: (478) 237-7022  | 
Jamye Bellamy Clark, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 N Coleman St, Swainsboro, GA 30401 Phone: 478-237-2638  | |
Mandi Marion Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Kight Road, Swainsboro, GA 30401 Phone: 478-289-1100  | |
Mrs. Leila Smith Bragg, MSN, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 328 W Main St, Swainsboro, GA 30401 Phone: 478-237-7801 Fax: 478-237-3883  | |
Mrs. Amanda Sweat Jarriel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Victory Dr, Swainsboro, GA 30401 Phone: 478-237-5506  | |
Mary Jo Greenway, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Second Floor, Swainsboro, GA 30401 Phone: 478-289-1150 Fax: 478-289-1199  | |
Ms. Laura Groth, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100  | |
Sharon Denise Peebles, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125b Victory Dr, Swainsboro, GA 30401 Phone: 478-419-1250 Fax: 478-419-1252  |