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

Selena Fuller, NP

Individual provider Family Medicine Physician · NPI 1598102733

Selena Fuller, NP is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2011, 15 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2779 Cobb Pkwy NW
Kennesaw, GA 30152-3437
Phone: (678) 732-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 181 South Clayton Street, Lawrenceville, GA 30045 — (866) 825-3227

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN172405 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN172405 (GA)

Record details

NPI number1598102733
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 29, 2013
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address2779 Cobb Pkwy Nw, Kennesaw, GA 30152-3437

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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