P Praxis·MD
● Active Type 1 · Individual

Michael John Sullivan, AGANP-C

Nurse Practitioner·Carrollton, GA· NPI 1780043463 · Enumerated 2016 · 10 years on NPI
Sullivan is 1 of 13 nurse practitioner providers in Carrollton and 1 of 950 in Georgia.
NPI age
10 years
Enumerated 2016-02-23
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-02
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
10 years
↑ 4 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Practice location
705 Dixie St, Suite 401
Carrollton, GA 301173818
📞 7708369326
Mailing address
119 Ambulance Dr, Suite 202
Carrollton, GA 301173857
📞 7708388710

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN209135 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #RN209135 taxonomy 363LG0600X

Practice context

Part of a multi-provider practice. 174 other active providers share this practice address in NPPES.

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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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