NPI age
11 years
Enumerated 2015-02-23
● Active
Type 1 · Individual
MS. Teawka Fullmore, NP-C
Fullmore is 1 of 1003 nurse practitioner providers in Atlanta and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 20% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Practice location
1000 Parkwood Cir Se Ste 900
Atlanta, GA 303392140
Mailing address
271 Simba Ln
Waycross, GA 315039231
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CG6045 | RAILROAD MEDICARE GROUP ID |
| 01 (GA) | 1144420530 | MEDICARE GROUP NPI |
| 01 (GA) | 1861884215 | MEDICARE NPI |
| 01 (GA) | 2025I01375 | MEDICARE PTAN |
| 01 | RN176193 | RN STATE LICENSE |
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
Recently enumerated nearby: 25 new nurse practitioner providers have been added in Atlanta in the last 180 days.
See all →
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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.