Kimberly Tillman Fulmer, in Metter, GA - Medicare Nurse Practitioner

Kimberly Tillman Fulmer, is a medicare enrolled "Nurse Practitioner" in Metter, Georgia. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice East Georgia Healthcare Center, Inc. and her current practice location is 34 Nw Broad St, Metter, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 685-4040.

Kimberly Tillman Fulmer is licensed to practice in Georgia (license number RN139827) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780348060.

Contact Information

	Kimberly Tillman Fulmer,
	34 Nw Broad St, Metter, GA 30439-4025
	(912) 685-4040
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Tillman Fulmer
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	34 Nw Broad St, Metter, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Tillman Fulmer graduated from nursing school in 2021

NPI Data:

NPI Number: 1780348060
Provider Enumeration Date: 10/24/2021
Last Update Date: 01/21/2026

Medicare PECOS Information:

PECOS PAC ID: 2567847577
Enrollment ID: I20220912001986

Medical Identifiers

Medical identifiers for Kimberly Tillman Fulmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780348060	NPI	-	NPPES
1780348060	Other	GA	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN139827 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Georgia Healthcare Center, Inc.	0547228686	20

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Tillman Fulmer allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Tillman Fulmer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Tillman Fulmer, 739 Burton Ave, Metter, GA 30439-3303 Ph: (912) 690-2652	Kimberly Tillman Fulmer, 34 Nw Broad St, Metter, GA 30439-4025 Ph: (912) 685-4040

Reviews and Comments

Nurse Practitioner Nurses in Metter, GA

Stacey Marie Clifton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10388 Ga Highway 23 N, Metter, GA 30439 Phone: 912-687-4660
Hannah Price Todd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6247 Adamson Trl, Metter, GA 30439 Phone: 706-832-4632
Ms. Miriam Higginbotham, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Sconyers St, Metter, GA 30439 Phone: 912-685-1215
Stephanie Ann Kostan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715
Kathryn A. Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 S Leroy St, Metter, GA 30439 Phone: 912-685-4040 Fax: 912-685-4041
Jean M Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Doctors St, Metter, GA 30439 Phone: 912-685-5715 Fax: 912-685-3461
Yvonne C. Donaldson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 B Cedar St, Metter, GA 30439 Phone: 912-685-1215 Fax: 912-685-1216

Kimberly Tillman Fulmer, - Medicare Nurse Practitioner in Metter, GA