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

Timothy Fuller, MD

Individual provider Surgery Physician · NPI 1104153063

Timothy Fuller, MD is a Vascular Surgery in Tifton, Georgia. Graduated from Mercer University School of Medicine in 2013, 13 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Montana.

Years since qualifying
13
Trained at
Mercer University School of Medicine
Licensed in
GA, MT
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1641 Madison Ave
Tifton, GA 31794-3757
Phone: (229) 353-2284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1333 Surgical Services Way, Kalispell, MT 59901-4844 — (406) 751-5392

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 085351 (GA)
Surgery Physician Taxonomy 208600000X · Licence MED-PHYS-LIC-103773 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 085351 (GA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence MED-PHYS-LIC-103773 (MT)

Record details

NPI number1104153063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address907 18th St E Ste 400, Tifton, GA 31794-3684

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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