SEAN D. FULLER MD – NPI #1063488054
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

SEAN FULLER is a physician located in IRMO, SC. NPPES has assigned the NPI number 1063488054 to SEAN FULLER on February 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEAN FULLER below.

NPI Profile for
SEAN D. FULLER

NPI Number
1063488054
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SEAN D. FULLER
Credentials
MD
Primary location
7182 WOODROW ST STE 200
IRMO, SC 29063-2958
Phone: (803) 749-1111 Fax: (803) 749-0050
3 Other location(s):
7021 Saint Andrews Rd # 2
Columbia, SC 29212-1177
Phone: (803) 749-1111
Fax: (803) 749-1111
1 Wellness Blvd Ste 109
Irmo, SC 29063-2872
Phone: (803) 749-1111
Fax: (803) 749-0050
1 Wellness Blvd Ste 114
Irmo, SC 29063-2873
Phone: (803) 749-1111
Fax: (803) 749-0050
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SEAN FULLER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSC201445
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SC 20144

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE - Graduated 2005
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SEAN FULLER is affiliated with the following medical group(s):
  • HOSPITAL
    • LEXINGTON MEDICAL CENTER
      2720 SUNSET BLVD
      WEST COLUMBIA, SC 29169
    • PRISMA HEALTH BAPTIST
      1330 TAYLOR AT MARION ST
      COLUMBIA, SC 29220
    • PRISMA HEALTH BAPTIST PARKRIDGE
      400 PALMETTO HEALTH PARKWAY
      COLUMBIA, SC 29212
  • HOME HEALTH AGENCY
    • AMEDISYS HOME HEALTH OF LEXINGTON
      714 SOUTHLAKE DRIVE SUITE 250
      LEXINGTON, SC 29072
    • TRI COUNTY HOME HEALTH
      2 PALMETTO WOOD PKWY SUITE 201
      IRMO, SC 29063

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.