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SADIE ANABEL SULLIVAN
NPI 1720877087
Physician Assistant in Kernersville, NC

Active since May 03, 2025PECOS EnrolledAccepts Medicare Assignment
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 564-4000 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sadie Anabel Sullivan NPPES

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

SADIE ANABEL SULLIVAN (NPI 1720877087) is an individual physician assistant in Kernersville, North Carolina and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720877087
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSADIE ANABEL SULLIVAN
Location Address1750 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7146
Mailing Address181 E 6th St Ste 503Winston Salem, NC 27101-2970
Phone(336) 564-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 3, 2025
NPPES CertifiedMay 3, 2025
✔ NPI 1720877087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284
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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

Sadie Anabel Sullivan 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 ID4183116650
PECOS Enrollment IDI20251121003020
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 27284 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NOVANT HEALTH MEDICAL GROUP, LLC
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4866
DR. FRANCES E. DECHURCH M.D.
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4866
NOVANT MEDICAL GROUP, INC.
Pediatrics
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 718-5841
SANTOSH SIGDEL MD
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4866
CARLY ROSE ALLOCO
Physician Assistant
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4000
KELLEY ANNETTE WALLACE DO
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4866
DONALD MICHAEL BRESCIA MD
Internal Medicine (Pulmonary Disease)
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 564-4866
DALYA PANBEHCHI
Physician Assistant (Medical)
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Forsyth County (336) 472-2000

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 Sadie Sullivan's NPI number?

The NPI number for Sadie Sullivan is 1720877087. It was assigned to this individual provider in the NPPES registry on May 3, 2025.

Where is Sadie Sullivan located?

Sadie Sullivan practices at 1750 Kernersville Medical Pkwy, Kernersville, NC 27284. The listed phone number is (336) 564-4000.

What is Sadie Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sadie Sullivan enrolled in Medicare?

Yes. Sadie 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 Sadie Sullivan was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.