LARRY DEWITT FULLER JR. M.A.
NPI 1700209327
Counselor - Professional in Villa Rica, GA
NPI Status: Active since February 03, 2014
Contact Information
307 OLD STONE RD
VILLA RICA, GA
ZIP 30180
Phone: (770) 459-8799
- Individual
- Male
- Counselor
- Professional
About LARRY FULLER
This page provides the complete NPI Profile along with additional information for Larry Fuller, a provider established in Villa Rica, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1700209327 assigned on February 2014. The practitioner's primary taxonomy code is 101YP2500X with license number LPC007525 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1700209327
- Provider Name
- LARRY DEWITT FULLER JR. M.A.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 307 OLD STONE RD VILLA RICA, GA 30180
- Location Phone
- (770) 459-8799
- Mailing Address
- 6439 BRIARWOOD CT RIVERDALE, GA 30296
- Mailing Phone
- (404) 433-0307
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-03-2014
- Last Update Date
- 02-03-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC007525
- License State
- GA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 2 | 0 | 9 | 3 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 4 | 0 | 18 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 4 + 0 + 1 + 8 + 3 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1700209327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386964690 | POTTERS HANDS INSTITUTE LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 307 OLD STONE RD VILLA RICA, GA 30180 (770) 459-8799 |
| 1922280684 | MOBOLAJI SHALOM OYEBANJO, INC Organization | Psychiatry & Neurology (Psychiatry) | 307 OLD STONE RD VILLA RICA, GA 30180 (770) 459-8799 |
| 1760932685 | MARDEEA JARTU LPC Individual | Counselor (Professional) | 307 OLD STONE RD VILLA RICA, GA 30180 (770) 459-8799 |
| 1346816865 | MR. JASON FORDYCE PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 307 OLD STONE RD VILLA RICA, GA 30180 (770) 459-8799 |
| 1578754503 | OMOBOLAJI OLUSEYI OYEBANJO POPOOLA MD Individual | Psychiatry & Neurology (Addiction Psychiatry) | 307 OLD STONE RD VILLA RICA, GA 30180 (770) 459-8799 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700209327, enumerated in the NPI registry as an "individual" on February 03, 2014
The provider is located at 307 Old Stone Rd Villa Rica, Ga 30180 and the phone number is (770) 459-8799
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
This NPI record was last updated on February 03, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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