Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fullerton Medical Clinic, PLLC

Organization Internal Medicine Physician · NPI 1164567830

Fullerton Medical Clinic, PLLC is an Internal Medicine Physician in Nashville, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2021 Church St Ste 504
Nashville, TN 37203-2021
Phone: (615) 284-7900
Fax: (615) 284-3488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164567830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Fullerton — Owner · (615) 284-7900
NPI enumeratedFebruary 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2021 Church St, Suite 504, Nashville, TN 37203-2021

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