KASSIDY SULLIVAN
NPI 1629812698
Anesthesiology in Augusta, GA
About Kassidy Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY SULLIVAN (NPI 1629812698) is an individual anesthesiology provider in Augusta, Georgia, licensed in Georgia (16771) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kassidy Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
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 Kassidy Sullivan's NPI number?
The NPI number for Kassidy Sullivan is 1629812698. It was assigned to this individual provider in the NPPES registry on June 24, 2024.
Where is Kassidy Sullivan located?
Kassidy Sullivan practices at 1120 15th St # Bi-2144, Augusta, GA 30912. The listed phone number is (706) 721-3871.
What is Kassidy Sullivan's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Kassidy Sullivan enrolled in Medicare?
Yes. Kassidy Sullivan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kassidy Sullivan was last updated on June 24, 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.