1. Home
  2. Directory
  3. Georgia
  4. Stockbridge
  5. Nurse Practitioner
  6. NPI Profile

CANDICE DARCHELL SULLIVAN NP
NPI 1811636822
Nurse Practitioner in Stockbridge, GA

Active since May 31, 2022PECOS Enrolled
1240 EAGLES LANDING PKWY STE 280, STOCKBRIDGE, GA 30281(770) 507-5055 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Candice Darchell Sullivan Np NPPES

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

CANDICE DARCHELL SULLIVAN NP (NPI 1811636822) is an individual nurse practitioner in Stockbridge, Georgia, licensed in Georgia (RN242143) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1811636822
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCANDICE DARCHELL SULLIVANCredential: NP
Location Address1240 EAGLES LANDING PKWY STE 280Stockbridge, GA 30281-5173
Mailing Address2933 Raton PathLithonia, GA 30038-2980 · (678) 469-0490
Phone(770) 507-5055
Sole ProprietorYes
Enumeration DateMay 31, 2022
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1811636822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN242143
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN242143 (GA)
1240 EAGLES LANDING PKWY STE 280, Stockbridge, GA 30281
Open in Google Maps ↗

Secondary Practice Location 1

Location 11520 Clifton Rd NEAtlanta, GA 30322-4201 · Phone (404) 727-7980

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Darchell Sullivan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Candice Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Providers LLC
68 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

DR. JANE SOO WOO MD
Surgery
1240 EAGLES LANDING PKWY STE 280
STOCKBRIDGE, GA 30281
Henry County (770) 507-5055
CHRISTOPHER JAMES JEAN-LOUIS D.O.
Surgery (Surgical Oncology)
1240 EAGLES LANDING PKWY STE 280
STOCKBRIDGE, GA 30281
Henry County (770) 507-5055
MRS. MELISSANDREA JONES NP
Nurse Practitioner
1240 EAGLES LANDING PKWY STE 280
STOCKBRIDGE, GA 30281
Henry County (770) 507-5055
SAMANTHA STODDARD
Nurse Practitioner
1240 EAGLES LANDING PKWY STE 280
STOCKBRIDGE, GA 30281
Henry County (770) 507-5055

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 Candice Sullivan's NPI number?

The NPI number for Candice Sullivan is 1811636822. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Candice Sullivan located?

Candice Sullivan practices at 1240 Eagles Landing Pkwy Ste 280, Stockbridge, GA 30281. The listed phone number is (770) 507-5055.

What is Candice Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Candice Sullivan enrolled in Medicare?

Yes. Candice Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Candice Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Sullivan reassigns Medicare benefits to Piedmont Providers LLC (Jasper, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candice Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candice Sullivan was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.