DR. LEE RICHARD SULLIVAN AGNPC-AG
NPI 1326575952
Nurse Practitioner - Acute Care in Athens, GA

Active since May 14, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1765 OLD WEST BROAD ST, ATHENS, GA 30606(706) 549-1663(706) 546-8792 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jun 28, 2021, Sep 27, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Lee Richard Sullivan Agnpc-ag NPPES

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

DR. LEE RICHARD SULLIVAN AGNPC-AG (NPI 1326575952) is an individual acute care provider in Athens, Georgia, licensed in Georgia (RN213335) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326575952
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDR. LEE RICHARD SULLIVANCredential: AGNPC-AG
Location Address1765 OLD WEST BROAD STAthens, GA 30606-2853
Mailing Address1765 Old West Broad St Bldg 2-200Athens, GA 30606-2887 · (706) 549-1663 · Fax (706) 546-8792
Fax(706) 546-8792
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 14, 2017
Last NPPES UpdateMarch 11, 20244 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
NPI 1326575952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN213335
1765 OLD WEST BROAD ST, Athens, GA 30606

Secondary Practice Locations 3

Location 11774 Old West Broad StAthens, GA 30606-2865 · Phone (706) 549-1663 · Fax (706) 546-8792
Location 233 Chestnut StElberton, GA 30635-1833 · Phone (706) 549-1663 · Fax (706) 546-8792
Location 3125 King AveAthens, GA 30606-6734 · Phone (706) 549-1663 · Fax (706) 546-8792

Other Identifiers 1

Other14182507Caqh Number

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

Dr. Lee Richard Sullivan Agnpc-ag 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 ID6709143548
PECOS Enrollment IDI20171201002353
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
3,416 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
306 services249 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
205 services142 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services119 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Elbert Memorial Hospital

Critical Access Hospitals · Elberton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111337
Location4 Medical DriveElberton, GA 30635 · Elbert County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Physician Assistant
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Occupational Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Orthopaedic Surgery
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Occupational Therapist
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Physician Assistant
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Orthopaedic Surgery
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Orthopaedic Surgery
1765 OLD WEST BROAD ST
ATHENS, GA 30606
Physical Therapy Assistant
1765 OLD WEST BROAD ST
ATHENS, GA 30606

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 Lee Sullivan's NPI number?

The NPI number for Lee Sullivan is 1326575952. It was assigned to this individual provider in the NPPES registry on May 14, 2017.

Where is Lee Sullivan located?

Lee Sullivan practices at 1765 Old West Broad St, Athens, GA 30606. The listed phone number is (706) 549-1663.

What is Lee Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lee Sullivan enrolled in Medicare?

Yes. Lee 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.

Is Lee Sullivan affiliated with any hospitals?

According to CMS data, Lee Sullivan is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC and Elbert Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lee Sullivan was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.