P Praxis·MD
● Active Type 1 · Individual

MRS. Cassandra Michelle Sullivan

Clinic/Center·Augsta, GA· NPI 1457072324 · Enumerated 2022 · 3 years on NPI
Sullivan is 1 of 1 clinic/center providers in Augsta and 1 of 205 in Georgia.
NPI age
3 years
Enumerated 2022-09-08
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 205 active clinic/center providers in Georgia.

NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Practice location
1926 Thomas Lane Augusta, Ga
Augsta, GA 308153081
📞 7069102727
Mailing address
1926 Thomas Ln
Augusta, GA 309045114
📞 7069102725

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ADC000309 taxonomy 261QA0600X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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