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JOHN SULLIVAN LCSW
NPI 1275249112
Counselor - Professional in Mcdonough, GA

Active since January 24, 2023PECOS Enrolled
901 PAVILION CT, MCDONOUGH, GA 30253(678) 814-4375 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Sullivan Lcsw NPPES

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

JOHN SULLIVAN LCSW (NPI 1275249112) is an individual professional provider in Mcdonough, Georgia, licensed in Georgia (LPC013465) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275249112
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN SULLIVANCredential: LCSW
Location Address901 PAVILION CTMcdonough, GA 30253-6665
Mailing Address901 Pavilion CtMcdonough, GA 30253-6665 · (678) 814-4375
Phone(678) 814-4375
Sole ProprietorYes
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1275249112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC013465
901 PAVILION CT, Mcdonough, GA 30253
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Sullivan Lcsw 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.

Other Providers at the Same Location NPPES 2

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

TIFFANY LYNN SULLIVAN LPC
Counselor (Professional)
901 PAVILION CT
MCDONOUGH, GA 30253
Henry County (678) 814-4375
MINDFUL REALIZATIONS COUNSELING & CONSULTING LLC
Counselor (Professional)
901 PAVILION CT
MCDONOUGH, GA 30253
Henry County (678) 814-4375

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 John Sullivan's NPI number?

The NPI number for John Sullivan is 1275249112. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is John Sullivan located?

John Sullivan practices at 901 Pavilion Ct, Mcdonough, GA 30253. The listed phone number is (678) 814-4375.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Sullivan enrolled in Medicare?

Yes. John Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does John Sullivan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.