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

Dr. Nicole Paige Fuller, MD

Individual provider Emergency Medicine Physician · NPI 1073242095

Dr. Nicole Paige Fuller, MD is an Emergency Medicine in Augusta, Georgia. Graduated from University of South Carolina School of Medicine, Greenville in 2022, 4 years ago. Practices with Southland Consolidated Emergency Services LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
University of South Carolina School of Medicine, Greenville
Licensed in
GA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (803) 341-1722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 99993 (GA)

Record details

NPI number1073242095
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated 2022 (4 years in practice)
Group practice Southland Consolidated Emergency Services Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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