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

Mr. Ronald Keith Fuller Jr., AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1225493646

Mr. Ronald Keith Fuller Jr., AG-ACNP is a Nurse Practitioner in Atlanta, Georgia. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2015
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Practice location Address checks out

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone: (404) 686-2271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN176821 (GA)

Record details

NPI number1225493646
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedDecember 30, 2015
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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