Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Timothy Fuller, MD

Vascular Surgery Physician in Tifton, GA · enumerated 2009 · practices at Tift Regional Health System Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104153063

Verified

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Registry record

Entity type Individual (Type 1)

Name Timothy Fuller

Credential MD

Sex Male

Practice address 1641 Madison Ave, Tifton, GA, 31794

Phone (229) 353-2284

Enumeration date Nov 12, 2009

Last updated in NPPES Jan 30, 2024

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MED-PHYS-LIC-103773 (MT) Secondary

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 085351 (GA) Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 085351 (GA) Primary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License MED-PHYS-LIC-103773 (MT) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Timothy Fuller practice?

The practice location on file with NPPES is in Tifton, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Timothy Fuller?

The National Provider Identifier (NPI) for Timothy Fuller is 1104153063, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-30.