1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Nurse Practitioner
  6. NPI Profile

OLIVIA JOYCE MATHESON SULLIVAN NURSE PRACTITIONER
NPI 1063032142
Nurse Practitioner - Family in Decatur, GA

Active since April 20, 2020PECOS Enrolled
1700 CLAIRMONT RD, DECATUR, GA 30033(404) 929-5345 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Apr 20, 2020 (2 updates tracked since 2020).

About Olivia Joyce Matheson Sullivan Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA JOYCE MATHESON SULLIVAN NURSE PRACTITIONER (NPI 1063032142) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN232689) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063032142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOLIVIA JOYCE MATHESON SULLIVANCredential: NURSE PRACTITIONER
Location Address1700 CLAIRMONT RDDecatur, GA 30033-4032
Mailing Address1773 Mackinaw Pl SeSmyrna, GA 30080-4534 · (561) 315-6335
Phone(404) 929-5345
Sole ProprietorNo
Enumeration DateApril 20, 2020
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1063032142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN232689
1700 CLAIRMONT RD, Decatur, GA 30033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Joyce Matheson Sullivan Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW WILLIAM BERNAL MLT
Technician, Pathology (Medical Laboratory)
1700 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (240) 723-5779
NATASHA DUGGAL PSY.D.
Psychologist (Clinical)
1700 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
MRS. CASHMERE M MILLER NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
1700 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CECELIA DIXIE M.S.W. - LCSW
Social Worker (Clinical)
1700 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Matheson Sullivan's NPI number?

The NPI number for Olivia Matheson Sullivan is 1063032142. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Olivia Matheson Sullivan located?

Olivia Matheson Sullivan practices at 1700 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 929-5345.

What is Olivia Matheson Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Olivia Matheson Sullivan enrolled in Medicare?

Yes. Olivia Matheson Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Matheson Sullivan was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.