NPI age
19 years
Enumerated 2006-07-14
● Active
Type 1 · Individual
DR. Kevin L. Sullivan, M.D.
Sullivan is 1 of 8 radiology providers in Decatur and 1 of 160 in Georgia.
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
GA, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-07-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 160 active radiology providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 64% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
250 Ponce De Leon Ave, Suite 100
Decatur, GA 300303406
Mailing address
182 Industrial Road
Glen Rock, PA 173278626
Specialties
-
Radiology PrimaryA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
-
RadiologyA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 409020411I |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new radiology providers have been added in Decatur in the last 180 days.
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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.