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

Clayton Michael Fulbright, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1497375646

Clayton Michael Fulbright, DO is an Obstetrics/Gynecology in Woodstock, Georgia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2020, 6 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
GA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

900 Towne Lake Pkwy Ste 404
Woodstock, GA 30189-1604
Phone: (770) 721-9420
Fax: (706) 946-5074
Show map & directions

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

Additional practice locations (1)

  • 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115-8029 — (770) 721-9420

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 97079 (GA)

Record details

NPI number1497375646
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address900 Towne Lake Pkwy Ste 404, Woodstock, GA 30189-1604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2020 (6 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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