NPI age
20 years
Enumerated 2006-04-20
● Active
Type 1 · Individual
Tama Fuller
Fuller is 1 of 551 pediatrics providers in Atlanta and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
1100 Lake Hearn Dr Ne, Suite 100
Atlanta, GA 303421523
Mailing address
1100 Lake Hearn Dr Ne, Suite 100
Atlanta, GA 303421523
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 4303744 | AETNA CAPITATED |
| 01 | 550624 | AETNA |
| 01 | 158759 | BLUE CROSS BLUE SHIELD |
| 01 | 691301 | CIGNA HEALTHCARE |
| 01 | 40467 | GREAT WEST |
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new pediatrics providers have been added in Atlanta in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 2726 Pediatrics providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.