MICHAEL JOHN SULLIVAN


Address: 705 Dixie St, Suite 401, Carrollton, GA 30117-3818
Phone: 7708369326

MICHAEL JOHN SULLIVAN (NPI# 1780043463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780043463
Entity Type Individual
Full Name MICHAEL JOHN SULLIVAN
Credential AGANP-C
Practice Address 705 Dixie St
Suite 401
Carrollton
GA 30117-3818
Mailing Address 119 Ambulance Dr
Suite 202
Carrollton
GA 30117-3857
Practice Telephone 7708369326
Mailing Telephone 7708388710
Enumeration Date 2016-02-23
Last Update Date 2016-03-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN209135 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN209135 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL SULLIVAN

NPI Name Taxonomy Address Enumeration
1366918617 Michael David Sullivan Social Worker 403 1/2 Hector St, Ithaca, NY 14850-2025 2018-10-15
1376923292 Michael Sullivan Student in an Organized Health Care Education/Training Program Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 2015-06-05
1881074896 Michael Gregory Sullivan Intermediate Care Facility, Mentally Retarded 30 Hobomack Rd, Quincy, MA 02169-2508 2015-06-04
1104215136 Michael Sullivan Perfusionist 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 2015-01-14
1689927915 Michael Robert Sullivan Pharmacist 41 Buena Vista St, Stamford, CT 06907-2402 2012-10-24
1154672038 Michael James Sullivan Dentist 1882 Hard Rd, Columbus, OH 43235-1996 2012-10-02
1063791747 Michael Gruer Sullivan Counselor 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 2011-08-11
1457647083 Michael Patrick Sullivan Dentist 1008 G Sreet, Geneva, NE 68361 2011-06-22
1841528585 Michael Andrew Sullivan Counselor 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 2009-11-18
1508191388 Michael Joseph Sullivan Audiologist 6644 Penn Ave S, Richfield, MN 55423-2026 2009-10-12

Office Location

Street Address 705 DIXIE ST
SUITE 401
City CARROLLTON
State GA
Zip Code 30117-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407848799 Lawrence Brett Carter Pharmacist 705 Dixie St, Carrollton, GA 30117-3818 2005-08-22
1760007322 Crystal Renee Grayson Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-06-10
1962025361 Amanda Hasty Mcentyre Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1265055669 Purdy Jackson Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1528681921 Amanda Phillips Kranz Dietitian, Registered 705 Dixie St, Carrollton, GA 30117-3818 2020-05-20
1699396630 Katherine Victoria White Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2020-04-30
1144866047 Jennifer Tiffany Jiles Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2019-11-26
1750934733 Tiffany Landry Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104479195 Kim Rowell Health Educator 705 Dixie St, Carrollton, GA 30117-3818 2019-07-19
1104478916 Brandon Gabe Graves Nurse Anesthetist, Certified Registered 705 Dixie St, Carrollton, GA 30117-3818 2019-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
Find all providers in zip 30117

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194203851 Laura Marie Fessler Nurse Practitioner 2300 Marsh Ln Apt 214, Carrollton, TX 75006-4852 2018-08-03
1417458498 Larrice Tela Gorley Nurse Practitioner 174 Emerald Pointe Dr, Carrollton, GA 30116-9409 2018-02-23
1851733679 Angela M Rogers Nurse Practitioner 100 Professional Pl Ste 310, Carrollton, GA 30117-3872 2013-07-22
1326676206 Jessica Danielle Spears Nurse Practitioner 4343 N Josey Ln, Carrollton, TX 75010-4603 2020-03-27
1659907160 Angelita Ancheta Parrish Nurse Practitioner 2340 E Trinity Mills Rd Ste 250, Carrollton, TX 75006-1946 2020-03-16
1558876524 Savannah Bryanna Jackson Nurse Practitioner 100 Professional Pl Ste 204, Carrollton, GA 30117-3802 2017-12-12
1689045957 Kelsey Elizabeth Reekie Nurse Practitioner 4240 International Pkwy, Suite 154, Carrollton, TX 75007-1970 2015-10-13
1588079248 Emily Tarpley Massey Nurse Practitioner 157 Clinic Ave Ste 203, Carrollton, GA 30117-4454 2014-06-20
1093956351 Melanie Sims Nurse Practitioner 705 Dixie St, Carrollton, GA 30117-3818 2009-03-17
1881818854 Tracy Lynn Brown Nurse Practitioner 4325 N Josey Ln, Plaza 2 Suite 301, Carrollton, TX 75010-4635 2007-04-12
Find all providers in CARROLLTON

Competitor

Search similar providers

City CARROLLTON
Zip Code 30117

Improve Information

Please comment or provide details below to improve the information on MICHAEL JOHN SULLIVAN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches