NPI age
9 years
Enumerated 2017-05-14
● Active
Type 1 · Individual
DR. Lee Richard Sullivan, AGNPC-AG
Sullivan is 1 of 18 nurse practitioner providers in Athens and 1 of 950 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 950 active nurse practitioner providers in Georgia.
NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-05Enumerated in NPPES
2017
2026
Where they practice
Practice location
1765 Old West Broad St
Athens, GA 306062853
Mailing address
1765 Old West Broad St Bldg 2-200
Athens, GA 306062887
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
125 King Ave
Athens, GA 306066734
Location 3
33 Chestnut St
Elberton, GA 306351833
Location 4
1774 Old West Broad St
Athens, GA 306062865
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 14182507 | CAQH NUMBER |
Practice context
Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.