Courtney R. Fuller, PA-C
NPI 1265944227ActiveIndividual· Physician Assistant· Raynham, MA
Physician Assistant (PA-C) with Southcoast Physicians Group Inc, practicing in Raynham, Massachusetts. Enrolled in Medicare as practitioner - physician assistant. Kerecis Limited reported $113.96 in payments in 2025, mostly food and beverage. Lists Southcoast Hospitals Group as a hospital affiliation.
Overview
| NPI | 1265944227 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 31, 2017 |
| Last updated in NPPES | Mar 21, 2025 |
| Certified by provider | Mar 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA6288 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southcoast Physicians Group IncNew Bedford, MA · 881 clinicians
Hospital affiliation
- Southcoast Hospitals GroupFall River, MA
Industry payments (Open Payments)
- 2025$113.96 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $113.96 | 1 |
What the 2025 payments were for
- Food and Beverage$113.96 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Raynham
- 1134403439
- 1134437544
- 1770391773
- 1942973441
- 1063829620
- 1952231102
- 1497665657
- 1528598190
- 1417903907
- 1396152187
- 1699281311
- 1285179929