Active NPI 1487986972 Individual Practitioner Male Practitioner

Charles E Fuller , LPC

Counselor - Professional • Calhoun, GA

Professional Overview & Biography Verified Profile Summary

Charles Fuller, LPC is a registered healthcare professional specializing in Counselor - Professional in Calhoun, GA. Practice services are available at 189 PROFESSIONAL CT SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

189 Professional Ct Se
Suite 105

Calhoun, GA 307017053

Telephone 7069794037

Associated Practice Facility / Clinic

🏢 Countryside Hospice Care, Inc Facility NPI 1245562107

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Calhoun, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

16 Specialists

Practicing in Calhoun, GA (6655 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC007145

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Georgia

LPC007145 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Alice Womack , LMT

Massage Therapist

NPI 1225856990

Licensed Massage Therapist

Ashley Hasty

Registered Nurse - Hospice

NPI 1710819040

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2013

Registered at 189 PROFESSIONAL CT SE, SUITE 105, CALHOUN, GA 307017053 (Tel: 7069794037)

📍

Updated Business Mailing Address May 01, 2013

Registered at 189 PROFESSIONAL CT SE, SUITE 105, CALHOUN, GA 307017053 (Tel: 7069794037)

👤

Provider Name / Credentials Updated May 01, 2013

Recorded as CHARLES FULLER, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Counselor (License #LPC007145 in GA)

🟢

Initial NPI Registration & Enumeration February 08, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487986972

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 08, 2010

Last Update: May 01, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

189 Professional Ct Se, Suite 105

Calhoun, GA 307017053

Phone: 7069794037

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.