AUDREY ROZEMAN FULLER (NP) – Adult Health Nurse Practitioner, NPI 1104462316

AUDREY ROZEMAN FULLER (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 290871 (GA). The NPI Number for AUDREY ROZEMAN FULLER (NP) is 1104462316

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY ROZEMAN FULLER (NP)
NPI
1104462316
Phone
(404) 256-8500
Address
6135 BARFIELD RD STE 200
Enumeration Date
22 November 2019
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656378812
Graduation Year
2019 (7 years ago)
PAC ID
4082040241
Group Practice PAC ID
1951371525
Professional Enrollment ID
I20241114003561
Address ID
TN379092444KN1450XBLVD401

Contacts

Secure Messaging
audreyrozeman@lmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241114003561INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951371525View full group profile
NameSpecialtyState
E N D O C R I N O L O G YTN
-TN
Nurse PractitionerTN
E N D O C R I N O L O G YTN
Nurse PractitionerTN
Registered Dietitian Or Nutrition ProfessionalTN
Physician AssistantTN
-TN
Physician AssistantTN
Registered Dietitian Or Nutrition ProfessionalTN

Reviews

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Frequently asked questions

Can I use this page to confirm AUDREY ROZEMAN FULLER (NP)'s NPI?
Yes. AUDREY ROZEMAN FULLER (NP) is listed with NPI 1104462316 in the public NPI dataset.
Can I rely on AUDREY ROZEMAN FULLER (NP) being an active provider?
As of the registry snapshot, AUDREY ROZEMAN FULLER (NP) is marked active.
What healthcare role does AUDREY ROZEMAN FULLER (NP) hold?
Scheduling teams often label AUDREY ROZEMAN FULLER (NP) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for AUDREY ROZEMAN FULLER (NP)?
AUDREY ROZEMAN FULLER (NP)'s geographic hint is Atlanta, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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