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

Katherine Ann Fulco, CNP

Individual provider Family Nurse Practitioner · NPI 1922316405

Katherine Ann Fulco, CNP is a Nurse Practitioner in Cumming, Georgia. Graduated from West Virginia University School of Medicine in 2010, 16 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Indiana and West Virginia.

Years since qualifying
16
Trained at
West Virginia University School of Medicine
Licensed in
GA, IN, WV
In the registry since
2010
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3850 Windermere Pkwy Ste 105
Cumming, GA 30041-7033
Phone: (678) 455-2800
Fax: (770) 888-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP316853 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 66369 (WV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71010054A (IN)

Record details

NPI number1922316405
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 18, 2010
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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