P Praxis·MD
● Active Type 1 · Individual

Audrey Rozeman Fuller, NP

Nurse Practitioner·Atlanta, GA· NPI 1104462316 · Enumerated 2019 · 6 years on NPI
Fuller is 1 of 179 nurse practitioner providers in Atlanta and 1 of 806 in Georgia.
NPI age
6 years
Enumerated 2019-11-22
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Practice location
1110 W Peachtree St Nw Ste 1100
Atlanta, GA 303093609
📞 4048922131fax 4042159222
Mailing address
1110 W Peachtree St Nw Ste 1100
Atlanta, GA 303093609

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
7823 Spivey Station Blvd Ste 310
Jonesboro, GA 302362886
📞 7709961122fax 7709071429
Location 3
1450 Dowell Springs Blvd Ste 300
Knoxville, TN 379092444
📞 8656378812fax 8656378865

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #290871 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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