TROY SULLIVAN MD NPI 1396790614

NPI Information

NPI: 1396790614
Provider Name: TROY SULLIVAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
125 W GIBSON ST
HARTWELL, GA
ZIP 30643
Phone: (706) 856-6939
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Troy Sullivan, MD is a family medicine in Hartwell, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Troy Sullivan, MD NPI is 1396790614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 W GIBSON ST
HARTWELL, GA
ZIP 30643-848
Phone: (706) 856-6939
Fax: (706) 856-6199

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		045984	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G45984	OTHER		MEDCOST
2	GPA799	MEDICAID	GEORGIA
3	11BDVGH	MEDICARE ID-TYPE UNSPECIFIED
4	045984	OTHER		GEORGIA MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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