THOMAS DENNIS SULLIVAN M.D.
NPI 1104872001
Pediatrics in Alpharetta, GA

Q: What is Thomas Sullivan's NPI number?

The NPI number for Thomas Sullivan is 1104872001. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Thomas Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sullivan was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2006PECOS Enrolled

3795 MANSELL RD, ALPHARETTA, GA 30022(404) 785-8540(404) 785-8574 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Dennis Sullivan M.d. NPPES

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

THOMAS DENNIS SULLIVAN M.D. (NPI 1104872001) is an individual pediatrics provider in Alpharetta, Georgia, licensed in Georgia (15512) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104872001

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTHOMAS DENNIS SULLIVANCredential: M.D.

Location Address3795 MANSELL RDAlpharetta, GA 30022-8247

Mailing Address5318 Trowbridge DrAtlanta, GA 30338-3623 · (770) 671-8349

Phone(404) 785-8540

Fax(404) 785-8574

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateDecember 10, 2013

✔ NPI 1104872001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 15512

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3795 MANSELL RD, Alpharetta, GA 30022

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Other Identifiers 2

Medicare UPING43652

Medicaid000971132GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Dennis Sullivan M.d. 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 30022 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 17

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

EGLESTON AFFILIATED SERVICES

Clinic/Center (Urgent Care)