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

Mr. John Richard Fullick, PAC

Individual provider Physician Assistant · NPI 1407956360

Mr. John Richard Fullick, PAC is a Physician Assistant in Columbus, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2006.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2100 Comer Ave
Columbus, GA 31904
Phone: (706) 596-5737
Fax: (706) 596-5727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1307 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA2857 (FL)

Record details

NPI number1407956360
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007

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