P Praxis·MD
● Active Type 1 · Individual

MR. Michael Kel Fuller SR., RN

Registered Nurse·Lawrenceville, GA· NPI 1366782005 · Enumerated 2013 · 13 years on NPI
Fuller is 1 of 27 registered nurse providers in Lawrenceville and 1 of 223 in Georgia.
NPI age
13 years
Enumerated 2013-02-17
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-02-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 223 active registered nurse providers in Georgia.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
175 Gwinnett Dr
Lawrenceville, GA 300468444
📞 6782092394fax 6782126350
Mailing address
7642 Legacy Rd
Flowery Branch, GA 305427587
📞 6786563075

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN210405 taxonomy 163WP0808X

Practice context

Part of a multi-provider practice. 577 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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