Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Elizabeth Fuller, FNP-C

Individual provider Family Nurse Practitioner · NPI 1679964720

Mrs. Elizabeth Fuller, FNP-C is a Nurse Practitioner in Pell City, Alabama. Qualified in 2014, 12 years ago. Practices with Champion Sports Medicine Birmingham, LLC, a 187-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Licensed in
AL
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

20 Hazelwood Dr
Pell City, AL 35125-3382
Phone: (205) 338-8008
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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 1-080149 (AL)

Record details

NPI number1679964720
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 11, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Champion Sports Medicine Birmingham, Llc — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pell City