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

Dr. Gregory W Fuller, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1174569107

Dr. Gregory W Fuller, DO is an Emergency Medical Services (Emergency Medicine) Physician in Jackson, Michigan. Licensed in Florida and Michigan. Registered with an NPI since 2006.

Licensed in
FL, MI
In the registry since
2006
Specialties on file
3
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

1006 Airport Rd
Jackson, MI 49202-1851
Phone: (517) 784-6663
Fax: (517) 787-7976
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101012543 (MI)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 012543 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS5478 (FL)

Record details

NPI number1174569107
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address1006 Airport Rd, Jackson, MI 49202-1851

Other providers in Jackson