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KEVIN L. SULLIVAN MD, PC
NPI 1750551834
Radiology - Vascular & Interventional Radiology in Decatur, GA

Active since March 05, 2008
250 E PONCE DE LEON AVE, DECATUR, GA 30030(404) 377-9171(404) 977-9172 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin L. Sullivan Md, Pc NPPES

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

KEVIN L. SULLIVAN MD, PC (NPI 1750551834) is a healthcare organization registered as a vascular & interventional radiology in Decatur, Georgia and active in the NPI registry since March 2008. The organization lists Kevin L. Sullivan, Md, as its authorized official.

NPPES Registry Identity

NPI1750551834
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameKEVIN L. SULLIVAN MD, PC
Location Address250 E PONCE DE LEON AVEDecatur, GA 30030-3440
Mailing Address40 Valley Stream Pkwy, Ste 100Malvern, PA 19355-1407 · (610) 644-8900 · Fax (484) 924-0053
Phone(404) 377-9171
Fax(404) 977-9172
Organization SubpartNo
Authorized OfficialKevin L. SullivanMd · (404) 377-9171
Enumeration DateMarch 5, 2008
Last NPPES UpdateOctober 20, 2016
✔ NPI 1750551834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
250 E PONCE DE LEON AVE, Decatur, GA 30030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

KHELIN VIRAK FNP-BC/FNP-C
Nurse Practitioner (Family)
250 E PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 727-7980
AMERICAN ACCESS CARE OF ATLANTA LLC
Internal Medicine (Nephrology)
250 E PONCE DE LEON AVE, SUITE 100
DECATUR, GA 30030
Dekalb County (404) 377-9171

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 Kevin L. Sullivan MD, PC's NPI number?

The NPI number for Kevin L. Sullivan MD, PC is 1750551834. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Kevin L. Sullivan MD, PC located?

Kevin L. Sullivan MD, PC is located at 250 E Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 377-9171.

What is Kevin L. Sullivan MD, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Kevin L. Sullivan MD, PC was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.