MICHAEL JOHN SULLIVAN AGANP-C
NPI 1780043463
Nurse Practitioner - Acute Care in Carrollton, GA

Q: What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1780043463. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Q: What is Michael Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on March 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2016PECOS Enrolled

705 DIXIE ST, SUITE 401, CARROLLTON, GA 30117(770) 836-9326 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2016, Feb 23, 2016 (2 updates tracked since 2016).

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About Michael John Sullivan Aganp-c NPPES

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

MICHAEL JOHN SULLIVAN AGANP-C (NPI 1780043463) is an individual acute care provider in Carrollton, Georgia, licensed in Georgia (RN209135) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2015).

NPPES Registry Identity

NPI1780043463

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMICHAEL JOHN SULLIVANCredential: AGANP-C

Location Address705 DIXIE ST, SUITE 401Carrollton, GA 30117-3818

Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 838-8710

Phone(770) 836-9326

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2015

Enumeration DateFebruary 23, 2016

Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration

✔ NPI 1780043463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN209135

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN209135 (GA)

705 DIXIE ST, Carrollton, GA 30117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.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)

Michael John Sullivan Aganp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113223702

PECOS Enrollment IDI20160308001477

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 30117 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.11 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$66.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAWRENCE BRETT CARTER PHARMD

Pharmacist