NPI age
18 years
Enumerated 2008-03-05
● Active Type 2 · Organization
Kevin L. Sullivan Md, Pc
Kevin L. Sullivan Md, Pc is 1 of 160 radiology organizations in Georgia.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sullivan
MD
Last NPPES update
2016-10-20
Source: monthly bulk 2026-05
How this organization compares
Across 160 active radiology providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
250 E Ponce De Leon Ave
Decatur, GA 300303440
Mailing address
40 Valley Stream Pkwy, Ste 100
Malvern, PA 193551407
Authorized official
Kevin L. Sullivan, MD
MD
📞 4043779171
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Khelin Virak, FNP-BC/FNP-C Nurse Practitioner NPI 1598556094
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.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.