Mrs Teawka Fullmore, NP-C - Medicare Nurse Practitioner in Waycross, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Waycross
Mrs Teawka Fullmore, NP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Waycross, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christopher Dennis Md Pllc and her current practice location is 711 Knight Avenue, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 283-9423.

Mrs Teawka Fullmore is licensed to practice in Georgia (license number RN176193) 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 1861884215.

Contact Information

Mrs Teawka Fullmore, NP-C
711 Knight Avenue,
Waycross, GA 31501-1943
(912) 283-9423
(912) 283-8204

Map and Direction




Provider's Profile

Full NameMrs Teawka Fullmore
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location711 Knight Avenue, Waycross, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Teawka Fullmore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1861884215
  • Provider Enumeration Date: 02/23/2015
  • Last Update Date: 05/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8921310525
  • Enrollment ID: I20150710001310

Medical Identifiers

Medical identifiers for Mrs 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
363L00000XNurse Practitioner RN176193 (Georgia)Secondary
363LG0600XNurse Practitioner - Gerontology RN176193 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christopher Dennis Md Pllc741625499045

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. Mrs 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. Mrs 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
Mrs Teawka Fullmore, NP-C
711 Knight Avenue,
Waycross, GA 31501-1943

Ph: (912) 283-9423		Mrs Teawka Fullmore, NP-C
711 Knight Avenue,
Waycross, GA 31501-1943

Ph: (912) 283-9423

Reviews and Comments


Nurse Practitioner Nurses in Waycross, GA

Barbara D Pittman, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    Fax: 912-548-0071
Robert Scott Jacobs, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 403a Lister St, Waycross, GA 31501
Phone: 912-283-4422    Fax: 912-283-4866
Mr. James Aaron Houser, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1206 Alice St, Waycross, GA 31501
Phone: 912-285-1140    Fax: 912-285-1125
Dawn Lynn Driggers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1710 1/2 Alice St, Waycross, GA 31501
Phone: 912-614-3768    
Kala Hodges, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 409 Uvalda St, Waycross, GA 31501
Phone: 229-391-3500    
Ms. Andrea M Deloach, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 Knight Ave, Waycross, GA 31501
Phone: 912-283-9423    Fax: 912-283-2946
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615a Pendleton St, Waycross, GA 31501
Phone: 912-548-0710    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.