Ms Teawka Fullmore, NP-C - Medicare Nurse Practitioner in Atlanta, GA

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Ms Teawka Fullmore, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 1000 Parkwood Cir Se Ste 900, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (480) 862-1700.

Ms Teawka Fullmore is licensed to practice in Georgia (license number RN176193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861884215.

Contact Information

Ms Teawka Fullmore, NP-C
1000 Parkwood Cir Se Ste 900,
Atlanta, GA 30339-2140
(480) 862-1700
Not Available

Map and Direction




Provider's Profile

Full NameMs Teawka Fullmore
GenderFemale
SpecialityNurse Practitioner - Family
Location1000 Parkwood Cir Se Ste 900, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861884215
  • Provider Enumeration Date: 02/23/2015
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921310525
  • Enrollment ID: I20150710001310

Medical Identifiers

Medical identifiers for Ms Teawka Fullmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861884215NPI-NPPES
CG6045OtherGARAILROAD MEDICARE GROUP ID
1144420530OtherGAMEDICARE GROUP NPI
1861884215OtherGAMEDICARE NPI
2025I01375OtherGAMEDICARE PTAN
RN176193OtherRN STATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN176193 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN176193 (Georgia)Primary
363L00000XNurse Practitioner RN176193 (Georgia)Secondary

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. Ms Teawka Fullmore allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051129000302
Entity NameSrm Counseling & Therapeutic Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396114880
PECOS PAC ID: 0840596268
Enrollment ID: O20160311000278
Entity NameSt Vincent's Full Service Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750672051
PECOS PAC ID: 4183879364
Enrollment ID: O20180917000713
Entity NameChristopher Dennis Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588090229
PECOS PAC ID: 7416254990
Enrollment ID: O20190327002643

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. Ms Teawka Fullmore 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 AddressPractice Location Address
Ms Teawka Fullmore, NP-C
271 Simba Ln,
Waycross, GA 31503-9231

Ph: (912) 670-1564		Ms Teawka Fullmore, NP-C
1000 Parkwood Cir Se Ste 900,
Atlanta, GA 30339-2140

Ph: (480) 862-1700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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