Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497822845 Individual Practitioner Male Practitioner

Dr. Timothy Louis Fuller , DO

Pediatrics • Greeneville, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Fuller, DO is a certified Pediatrics practicing in Greeneville, TN. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Fuller delivers high-quality medical care to the local community at 428 EAST VANN ROAD.

Dr. Fuller is affiliated with Blue Ridge Medical Management Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

428 East Vann Road

Greeneville, TN 377437202

Telephone 4232781950
Fax 4232781973
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Greeneville, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs Matches City Avg
City Avg: 33.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Greeneville, TN (1299 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

Clinical Seniority & Experience Comparison

Dr. Fuller (33 Years) 33 Yrs
Greeneville Specialty Average (33.0 Years) 33.0 Yrs

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN 1343

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbst
4121421 (TN)
Commercial Insurance / Payer ID Jd
TN01Q1 (TN)

Hospital & Practice Group Affiliations

Blue Ridge Medical Management Corporation

1497 W Elk Ave, Elizabethton, TN 376432896

Blue Ridge Medical Management Corporation

428 E Vann Rd, Greeneville, TN 377437202

Phone: 4232781950

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1316128101

Doctor of Osteopathic Medicine (D.O.)

NPI 1336368919

Doctor of Medicine (M.D.)

Amanda Curtis , APN

Nurse Practitioner - Family

NPI 1356585822

Advanced Practice Nurse

NPI 1427056597

Doctor of Osteopathic Medicine (D.O.)

Sarah Sproles , NP

Nurse Practitioner - Family

NPI 1518362334

Nurse Practitioner

Andrea Heaton , APN

Nurse Practitioner - Pediatrics

NPI 1891962486

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2014

Registered at 428 EAST VANN ROAD, GREENEVILLE, TN 377437202 (Tel: 4232781950)

📍
Updated Business Mailing Address February 03, 2014

Registered at PO BOX 15004, KNOXVILLE, TN 37901 (Tel: 8655229730)

👤
Provider Name / Credentials Updated February 03, 2014

Recorded as TIMOTHY FULLER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2014

Pediatrics (License #1343 in TN)

🟢
Initial NPI Registration & Enumeration November 29, 2006

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: 1497822845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: February 03, 2014
Sole Proprietor: No

Mailing Address

Po Box 15004

Knoxville, TN 37901

Phone: 8655229730

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.