IndividualActive
Derrick Fullwood
NPI 1154656338 · Community/Behavioral Health Agency · Clinton, NC
Derrick Fullwood is a Community/Behavioral Health Agency provider in Clinton, NC (NPI 1154656338).
Provider details
- NPI number
- 1154656338
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4442 Bonnetsville Rd
Clinton, NC 28328-1001
Phone: (919) 673-6332
Street-level locationGet directions
Mailing address
4337 Lake Ridge Dr
Raleigh, NC 27604-3469
Registry dates
- Enumerated
- 2009-10-06
- Last updated
- 2009-10-06
Frequently asked questions
- What is Derrick Fullwood's NPI number?
- Derrick Fullwood's National Provider Identifier (NPI) is 1154656338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Fullwood's specialty?
- Derrick Fullwood is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency (Agencies).
- Where is Derrick Fullwood located?
- Derrick Fullwood's practice location on file with NPPES is 4442 Bonnetsville Rd, Clinton, NC 28328-1001.
- What is Derrick Fullwood's phone number?
- The practice phone number listed in the NPPES registry for Derrick Fullwood is (919) 673-6332.
- Is Derrick Fullwood's NPI active?
- Yes — Derrick Fullwood's NPI (1154656338) is active in the NPPES registry as of the last update on 2009-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.