Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Callie Sullivan's specialty?

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

Q: 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 38 days 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 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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 38 days 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.