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Deactivated NPI 1750937272 Deactivated / Inactive NPI Female Practitioner

Heather Ann Fulk

Licensed Practical Nurse • Columbus, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Heather Fulk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2019
NPI Deactivation Date May 24, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Heather Fulk was a registered Licensed Practical Nurse practicing in Columbus, GA. Throughout an active medical career spanning 3 years, Heather Fulk provided care at the practice location at 2100 COMER AVE until profile deactivation on 2022-05-24.

Practice Location & Contact Primary Location

Practice Address

2100 Comer Ave

Columbus, GA 319048725

Telephone 7065965500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
82 Specialists

Practicing in Columbus, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN095055

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shane Gay

Licensed Practical Nurse

NPI 1013573609
Vickie Gilchrist , LPN

Licensed Practical Nurse

NPI 1013806918

Licensed Practical Nurse

Caroline Lukano , PMHNP-BC, FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023498466

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner

Adrian King , PP

Case Manager/Care Coordinator

NPI 1023756368
Cassandra Harris

Case Management

NPI 1033725288
Pamela Jones

Case Manager/Care Coordinator

NPI 1043749500

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2022

Record deactivated on May 24, 2022

NPI Profile Active August 12, 2019

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2019

Registered at 2100 COMER AVE, COLUMBUS, GA 319048725 (Tel: 7065965500)

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Updated Business Mailing Address August 12, 2019

Registered at 2100 COMER AVE, COLUMBUS, GA 319048725 (Tel: 7065965500)

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Provider Name / Credentials Updated August 12, 2019

Recorded as HEATHER FULK

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Licensed Practical Nurse (License #LPN095055 in GA)

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Initial NPI Registration & Enumeration August 12, 2019

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: 1750937272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2019
Last Update: August 12, 2019
Deactivation Date: May 24, 2022

Mailing Address

2100 Comer Ave

Columbus, GA 319048725

Phone: 7065965500

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.