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GARY HODGES SULLIVAN LPC
NPI 1790231207
Counselor - Mental Health in Dahlonega, GA

Active since August 26, 2016PECOS EnrolledAccepts Medicare Assignment
153 SCHOOL DR, DAHLONEGA, GA 30533(706) 973-3215(706) 973-3216 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 9, 2023, Feb 3, 2021, Aug 26, 2016 (3 updates tracked since 2016).

About Gary Hodges Sullivan Lpc NPPES

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

GARY HODGES SULLIVAN LPC (NPI 1790231207) is an individual mental health provider in Dahlonega, Georgia, licensed in Georgia (LPC008887) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ellijay, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1790231207
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGARY HODGES SULLIVANCredential: LPC
Location Address153 SCHOOL DRDahlonega, GA 30533-0313
Mailing Address165 Blue Ridge OverlookBlue Ridge, GA 30513-4431 · (706) 946-5607 · Fax (706) 374-7628
Phone(706) 973-3215
Fax(706) 973-3216
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 26, 2016
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1790231207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC008887
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC008887 (GA)
153 SCHOOL DR, Dahlonega, GA 30533
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Secondary Practice Location 1

Location 180 Cinema DrEllijay, GA 30540-2592 · Phone (706) 635-6898 · Fax (706) 635-6885

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

Gary Hodges Sullivan Lpc 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 ID3870946221
PECOS Enrollment IDI20240201001492
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.

Other Providers at the Same Location NPPES 3

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

ANA APOSTOLINA MNS, APRN, FNP-C
Nurse Practitioner (Family)
153 SCHOOL DR
DAHLONEGA, GA 30533
Lumpkin County (706) 973-3215
LISA ANN MILLER MSN, APRN, FNP-C
Nurse Practitioner (Family)
153 SCHOOL DR
DAHLONEGA, GA 30533
Lumpkin County (706) 973-3215
GEORGIA MOUNTAINS HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
153 SCHOOL DR
DAHLONEGA, GA 30533
Lumpkin County (706) 701-5001

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 Gary Sullivan's NPI number?

The NPI number for Gary Sullivan is 1790231207. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Gary Sullivan located?

Gary Sullivan practices at 153 School Dr, Dahlonega, GA 30533. The listed phone number is (706) 973-3215.

What is Gary Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gary Sullivan enrolled in Medicare?

Yes. Gary 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 Gary Sullivan was last updated on November 9, 2023. 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.