NPI age
20 years
Enumerated 2006-04-11
● Active
Type 1 · Individual
Gary B Sullivan, MD
Sullivan is 1 of 24 specialist providers in Statesboro and 1 of 1881 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1881 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
1523 Fair Rd
Statesboro, GA 304586025
Mailing address
Po Box 1958
Statesboro, GA 304591958
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000353955C |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1881 Specialist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.