DR. A. KENNETH FULLER (MD) – Psychiatry Physician, NPI 1821073768

DR. A. KENNETH FULLER (MD) is a healthcare provider. based in Thomasville, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 028165 (GA). The NPI Number for DR. A. KENNETH FULLER (MD) is 1821073768

Main info

Male
44 Years Of Experience
Name
DR. A. KENNETH FULLER (MD)
NPI
1821073768
Phone
(229) 226-7060
Address
1913 SMITH AVE
Enumeration Date
14 December 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2292267060
Graduation Year
1982 (44 years ago)
PAC ID
5799797163
Professional Enrollment ID
I20060629000266
Address ID
GA317925751TH1913XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for DR. A. KENNETH FULLER (MD)

  • 1913, Smith Avenue, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925751

    Phone: (229) 226-7060

    Fax: (229) 226-7061

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-06-29

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
I20060629000266IPsychiatryGATBD

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
90837Psychotherapy, 1 hour28754$0
90834Psychotherapy, 45 minutes7229$0
View full utilization report →

Insurance plans in this area (ZIP 31792)

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Reviews

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Frequently asked questions

Where can patients find DR. A. KENNETH FULLER (MD)'s NPI?
You can confirm DR. A. KENNETH FULLER (MD) with NPI 1821073768; it appears in the national provider directory.
Is DR. A. KENNETH FULLER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. A. KENNETH FULLER (MD) work in?
You can think of DR. A. KENNETH FULLER (MD) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. A. KENNETH FULLER (MD)?
We surface Thomasville, Georgia for DR. A. KENNETH FULLER (MD) based on available NPPES addresses.
What if Thomasville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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