WILLIAM T. FULLER MD – NPI #1205323177
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

WILLIAM FULLER is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1205323177 to WILLIAM FULLER on April 17, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Dec 11, 2025. 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 WILLIAM FULLER below.

NPI Profile for
WILLIAM T. FULLER

NPI Number
1205323177
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM T. FULLER
Credentials
MD
Primary location
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone: (601) 981-9503 Fax:
1 Other location(s):
971 Lakeland Dr Ste 250
Jackson, MS 39216-4620
Phone: (601) 200-5864
Mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone: (225) 765-5727 Fax: (225) 765-9196
Sole Proprietor
No
Updated
Certification Date
Dec 11, 2025

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.

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
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)		 MS 29088
207RC0200X
- Internal Medicine / Critical Care Medicine		 MS 29088
207R00000X
- Internal Medicine		 MS T-3564

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 MISSISSIPPI SCHOOL OF MEDICINE - Graduated 2018
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

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