DR. DANLIN JENNY FULLER (MD) – Internal Medicine Physician, NPI 1407276769

DR. DANLIN JENNY FULLER (MD) is a healthcare provider. based in Augusta, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MT206038 (PA). The NPI Number for DR. DANLIN JENNY FULLER (MD) is 1407276769

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANLIN JENNY FULLER (MD)
NPI
1407276769
Phone
(706) 721-1160
Address
1120 15TH ST
Enumeration Date
24 April 2014
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4057997510
Graduation Year
2014 (12 years ago)
PAC ID
0547551723
Group Practice PAC ID
3173522596
Professional Enrollment ID
I20210614000138
Address ID
OK731602937MO2909XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

570 OPHTHALMOLOGY in GA

Provider Addresses for DR. DANLIN JENNY FULLER (MD)

  • 1120 15TH ST

    AUGUSTA, GA 309120004

    Phone: (706) 721-1160

    Type: Mailing

  • 2909 S TELEPHONE RD

    MOORE, OK 731602937

    Phone: (405) 733-4545

    Fax: (405) 733-2758

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Ocular Therapeutix, Inc. ($201).

Total Amount

$443

General + Research + Ownership

Payments

23

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2021-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180705001160IOphthalmologySCTBD
I20210614000138IOphthalmologyOKTBD

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
92014Established patient complete exam of visual system211204$0
92012Established patient problem focused exam of visual system9879$0
92136Measurement of corneal curvature and depth of eye9562$0
66984Removal of cataract with insertion of prosthetic lens8048$0
99213Established patient office or other outpatient visit, 20-29 minutes7971$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

Loading plans...

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: 3173522596View full group profile
NameSpecialtyState
O P H T H A L M O L O G YKS
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P T O M E T R YOK
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P T O M E T R YOK
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P T O M E T R YOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. DANLIN JENNY FULLER (MD)'s NPI number?
DR. DANLIN JENNY FULLER (MD)'s NPI is 1407276769 — the number used across U.S. healthcare to identify this provider.
Is DR. DANLIN JENNY FULLER (MD) shown as active in public data?
Registry records indicate DR. DANLIN JENNY FULLER (MD) maintains an active NPI.
What clinical focus is listed for DR. DANLIN JENNY FULLER (MD)?
At a glance, DR. DANLIN JENNY FULLER (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. DANLIN JENNY FULLER (MD) registered?
Use Augusta, Georgia as the headline location for DR. DANLIN JENNY FULLER (MD) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.