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CALLIE REBECCA SULLIVAN DNP, ARNP
NPI 1265051767
Nurse Practitioner - Family in Carrollton, GA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
119 AMBULANCE DR, CARROLLTON, GA 30117(770) 812-5837(770) 812-5838 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Oct 23, 2020, Apr 14, 2020 (3 updates tracked since 2020).

About Callie Rebecca Sullivan Dnp, Arnp NPPES

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

CALLIE REBECCA SULLIVAN DNP, ARNP (NPI 1265051767) is an individual family provider in Carrollton, Georgia, licensed in Georgia (NP325416) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265051767
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCALLIE REBECCA SULLIVANCredential: DNP, ARNP
Location Address119 AMBULANCE DRCarrollton, GA 30117-3867
Mailing Address119 Ambulance DrCarrollton, GA 30117-3867 · (770) 812-5837 · Fax (770) 812-5838
Phone(770) 812-5837
Fax(770) 812-5838
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1265051767 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 · NP325416
119 AMBULANCE DR, Carrollton, GA 30117
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Callie Rebecca Sullivan Dnp, Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305276627
PECOS Enrollment IDI20250111000171
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Callie Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tanner Medical Group Inc
1.2 mi
Cardiovascular Disease
100 GREENWAY BLVD FL 2
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1396979787 (770) 838-8710
Restore First Health Riverdale LLC
40 mi
Rheumatology
34 UPPER RIVERDALE RD SE STE 101
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1497439509 (470) 292-3820
Restore First Health Marietta LLC
41 mi
Family Medicine
2550 WINDY HILL RD SE STE 115
Marietta, GA 30067
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1487378071 (678) 580-2684
Prime Regen Decatur
50 mi
Rheumatology
2680 LAWRENCEVILLE HWY STE 101
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1811668593 (470) 292-3820
Duluth Regenerative And Joint Institute LLC
61 mi
Rheumatology
10680 MEDLOCK BRIDGE RD STE 204
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1609428325 (470) 292-3820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,120 services$0.37 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims205 services$7.23 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims230 services$8.47 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,280 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims1,416 services$0.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

TANNER IMAGING CENTER
Clinic/Center (Radiology)
119 AMBULANCE DR
CARROLLTON, GA 30117
Carroll County (770) 812-9660
TMC CAROUSEL PEDIATRICS INC
Pediatrics
119 AMBULANCE DR, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 834-0606
MRS. AMBER B ALLEN NP
Nurse Practitioner (Family)
119 AMBULANCE DR, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 836-9658

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 Callie Sullivan's NPI number?

The NPI number for Callie Sullivan is 1265051767. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Callie Sullivan located?

Callie Sullivan practices at 119 Ambulance Dr, Carrollton, GA 30117. The listed phone number is (770) 812-5837.

What is Callie Sullivan's specialty?

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

Is Callie Sullivan enrolled in Medicare?

Yes. Callie Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Callie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Callie Sullivan reassigns Medicare benefits to 5 organizations: Tanner Medical Group Inc (Carrollton, GA), Restore First Health Riverdale LLC (Riverdale, GA), Restore First Health Marietta LLC (Marietta, GA), Prime Regen Decatur (Decatur, GA) and Duluth Regenerative And Joint Institute LLC (Johns Creek, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Callie Sullivan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.