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

Taylor Davis Fulks, DO

Individual provider Family Medicine Physician · NPI 1295300085

Taylor Davis Fulks, DO is a Family Practice in Hattiesburg, Mississippi. Qualified in 2021, 5 years ago. Practices with Forrest County General Hospital, a 107-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

415 S 28th Ave Fl 1
Hattiesburg, MS 39401-7246
Phone: (601) 288-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30159 (MS)

Record details

NPI number1295300085
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing addressPo Box 15722, Hattiesburg, MS 39404-5722

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Forrest County General Hospital — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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