AUDREY ROZEMAN FULLER (NP) – Adult Health Nurse Practitioner, NPI 1104462316
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for AUDREY ROZEMAN FULLER (NP)
6135 BARFIELD RD STE 200
ATLANTA, GA 303284308
Phone: (404) 256-8500
Fax: (404) 256-8506
Type: Location
6600 PEACHTREE DUNWOODY RD STE 325
ATLANTA, GA 303286773
Phone:
Type: Mailing
1110 W PEACHTREE ST NW STE 1100
ATLANTA, GA 303093609
Phone: (404) 892-2131
Fax: (404) 215-9222
Type: Location
7823 Spivey Station Blvd Ste 310
Jonesboro, GA 302362886
Phone: (770) 996-1122
Fax: (770) 907-1429
Type: Location
1450 Dowell Springs Blvd Ste 300
Knoxville, TN 379092444
Phone: (865) 637-8812
Fax: (865) 637-8865
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 163 Open Payments records for all available years, with a total value of $3,485.
Total Amount is formed as General ($3,485) + Research ($0) + Ownership ($0) = $3,485.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Lilly USA, LLC ($486).
Total Amount
$3,485
General + Research + Ownership
Payments
163
Total payment records
General Amount
$3,485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $486 |
| Novo Nordisk Inc | $301 |
| Xeris Pharmaceuticals, Inc. | $294 |
| Tandem Diabetes Care, Inc. | $294 |
| Mannkind Corporation | $209 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241114003561 | I | Nurse Practitioner | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30328)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| E N D O C R I N O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Registered Dietitian Or Nutrition Professional | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Registered Dietitian Or Nutrition Professional | TN |
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