Michael John Sullivan, AGANP-C | |
705 Dixie St, Suite 401, Carrollton, GA 30117-3818 | |
(770) 836-9326 | |
Not Available |
Full Name | Michael John Sullivan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 705 Dixie St, Carrollton, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780043463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN209135 (Georgia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN209135 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apogee Medical Group Georgia | 4587676945 | 101 |
Entity Name | Apogee Medical Group Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
Entity Name | Tanner Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Mailing Address | Practice Location Address |
---|---|
Michael John Sullivan, AGANP-C 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Michael John Sullivan, AGANP-C 705 Dixie St, Suite 401, Carrollton, GA 30117-3818 Ph: (770) 836-9326 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042 | |
Stephanie Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117 Phone: 770-214-2121 |