MICHAEL JOHN SULLIVAN (AGANP-C) – Acute Care Nurse Practitioner, NPI 1780043463
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,744 NURSE PRACTITIONER in GA
Provider Addresses for MICHAEL JOHN SULLIVAN (AGANP-C)
119 AMBULANCE DR
SUITE 202
CARROLLTON, GA 301173857
Phone: (770) 838-8710
Type: Mailing
705 DIXIE ST
SUITE 401
CARROLLTON, GA 301173818
Phone: (770) 836-9326
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160308001477 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 20 | 11 | $0 |
Insurance plans in this area (ZIP 30117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Hospitalist, Internal Medicine | PA | |
| H O S P I T A L I S T | GA | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | WI | |
| Nurse Practitioner | NC | |
| Internal Medicine, Hospitalist | FL | |
| Internal Medicine, Nephrology, Hospitalist, Internal Medicine | MD | |
| General Practice | SC | |
| Nurse Practitioner | AL |
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