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Deactivated NPI 1285651893 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Prioleau Fuller , MD

Plastic Surgery • Lynchburg, VA

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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, Dr. Samuel Fuller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date August 07, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Fuller, MD was a registered Plastic Surgery practicing in Lynchburg, VA. Throughout an active medical career spanning 19 years, Dr. Fuller provided care at the practice location at 1330 OAK LN until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

1330 Oak Ln
Suite 100

Lynchburg, VA 245032513

Telephone 4343840610
Fax 4343841074
Associated Practice Facility / Clinic
🏢 Alexander Breast Imaging, Pc Facility NPI 1730133760

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Lynchburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lynchburg, VA (139 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

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License VA 0101031832

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Simon Hatin , MD

Plastic Surgery

NPI 1215960331

Doctor of Medicine (M.D.)

NPI 1982621587

Doctor of Medicine (M.D.)

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 August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1330 OAK LN, SUITE 100, LYNCHBURG, VA 245032513 (Tel: 4343840610)

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Updated Business Mailing Address July 08, 2007

Registered at 1330 OAK LN, SUITE 100, LYNCHBURG, VA 245032513 (Tel: 4343840610)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL FULLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #0101031832 in VA)

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Initial NPI Registration & Enumeration July 17, 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: 1285651893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: August 07, 2025

Mailing Address

1330 Oak Ln, Suite 100

Lynchburg, VA 245032513

Phone: 4343840610

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

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