NPI age
5 years
Enumerated 2020-09-24
● Active
Type 1 · Individual
Thaxton Sullivan
Sullivan is 1 of 7 specialist/technologist providers in Hinesville and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1405 active specialist/technologist providers in Georgia.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
572 Essayons Dr., 92nd Engineer Bn
Hinesville, GA 313133131
Mailing address
3 Courtland Dr Apt 50
Hattiesburg, MS 394028186
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3 Courtland Dr Apt 50
Hattiesburg, MS 394028186
Specialties
-
Specialist/Technologist PrimaryAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
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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