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Dr. William Allen Fuller , MD

Surgery β€’ South Boston, VA

Deactivated NPI 1225006489 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2212 Wilborn Ave
South Boston, VA 245921630

Phone: 4345728921

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 05, 2026; the reason is not published. The records below are historical. They do not show whether Dr. William Fuller currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 14, 2006
NPI Deactivation Date November 05, 2026
NPI Active Period 2006 – 2026

Practice Location & Contact Primary Location

Practice Address

2212 Wilborn Ave

South Boston, VA 245921630

Telephone 4345728921
Fax 4345722063
Organization at the Same NPPES Address or Phone
Fuller-Roberts Clinic, Inc Facility NPI 1407891815

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

51 standardized 30-day fills in 2013

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$248 in 2013

The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2013.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in South Boston and Virginia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Medicare Part D Prescribers (2013), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2013.

CMS Part D Β· Data Year 2013
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 37 198 $179.85 37
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 14 70 $68.62 14

Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES VA 0101023878

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcbs
003685 (VA)
Other Identifier Optima
16829 (VA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Cynthia Cole , NP-C

Nurse Practitioner - Family

NPI 1316320187

Nurse Practitioner (Certified)

NPI 1407824527

Doctor of Medicine (M.D.)

Pamela Reynolds , FNP-C

Nurse Practitioner

NPI 1932178019

Family Nurse Practitioner (Certified)

Dr. Duc Trieu , MD

Obstetrics & Gynecology

NPI 1659317576

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 05, 2026

NPPES lists this NPI as deactivated as of November 05, 2026; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 2212 WILBORN AVE, SOUTH BOSTON, VA 245921630 (Tel: 4345728921)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2212 WILBORN AVE, SOUTH BOSTON, VA 245921630 (Tel: 4345728921)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as WILLIAM FULLER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (license number reported to NPPES: VA 0101023878)

🟒
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225006489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: September 20, 2026
Deactivation Date: November 05, 2026
Sole Proprietor: No

Other Surgery Specialists in South Boston

Mailing Address

2212 Wilborn Ave

South Boston, VA 245921630

Phone: 4345728921

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.