RICHARD HENRY SULLIVAN III (NPI# 1407272529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407272529 |
| Entity Type | Individual |
| Full Name | RICHARD HENRY SULLIVAN III |
| Credential | PA |
| Practice Address |
3400 Old Milton Pkwy Ste 190 Alpharetta GA 30005-3707 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Practice Telephone | 7706631100 |
| Practice Fax Number | 7706631101 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578985479 | Richard A Sullivan | Counselor | 26 Viden Rd, Quincy, MA 02169-7907 | 2014-01-10 |
| 1568695864 | Richard John Sullivan | Massage Therapist | 3524 Se Stark St, Portland, OR 97214-3154 | 2009-09-02 |
| 1467676700 | Richard Hugh Sullivan | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2007-04-11 |
| 1841325461 | Richard James Sullivan | Contractor | 2155 Ne 187th St, North Miami Beach, FL 33179-4311 | 2007-02-22 |
| 1275607624 | Richard Joseph Sullivan | Internal Medicine | 7904 Turin Rd, Rome, NY 13440-1933 | 2006-11-20 |
| 1023127651 | Richard Michael Sullivan | Social Worker | 410 Gidney Ave Stop 3, Newburgh, NY 12550-3764 | 2006-08-29 |
| 1528075785 | Richard Sullivan | Pharmacist | 863 W Foothill Blvd, Claremont, CA 91711-3302 | 2006-08-01 |
| 1588694434 | Richard M Sullivan | Social Worker | 5420 Shimerville Rd, Clarence, NY 14031-1118 | 2006-07-04 |
| 1821567611 | Richard Sullivan | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1285014993 | Richard Hugh Sullivan Iv | Dentist | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2015-06-08 |
| Street Address |
3400 OLD MILTON PKWY STE 190 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350237 | Stephen Ronald Fisher | Orthopaedic Surgery | 3400 Old Milton Pkwy Ste 190, Alpharetta, GA 30005-3707 | 2006-03-16 |
| 1538666490 | Logan Little Pierce | Physician Assistant | 3400 Old Milton Pkwy Ste 190, Alpharetta, GA 30005-3707 | 2018-04-09 |
| 1023053063 | Vonda J Wright | Orthopaedic Surgery | 3400 Old Milton Pkwy Ste 190, Alpharetta, GA 30005 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514563 | Elizabeth L Pajares | Physician Assistant | 2765 Abbottswell Dr, Alpharetta, GA 30022-5278 | 2019-05-23 |
| 1427612498 | Victoria Robertson | Physician Assistant | 2420 Loxford Ln, Alpharetta, GA 30009-8753 | 2019-04-25 |
| 1164959797 | Nhung Nguyen | Physician Assistant | 6195 Windward Pkwy Ste 109, Alpharetta, GA 30005-5217 | 2017-05-14 |
| 1710378609 | Brandon Thomas Hector | Physician Assistant | 3400 Old Milton Pkwy Bldg C, Suite 270, Alpharetta, GA 30005-3707 | 2015-02-12 |
| 1407196819 | Silent Seniors Community Care LLC | Physician Assistant | 13010 Morris Rd, Bldg 2, Alpharetta, GA 30004-3873 | 2013-02-21 |
| 1841500659 | Joshua W Howard | Physician Assistant | 3400 Old Milton Pkwy Ste C290, Alpharetta, GA 30005-6491 | 2010-10-14 |
| 1013953215 | Jennifer D. Piper | Physician Assistant | 3330 Preston Ridge Rd Ste 110, Alpharetta, GA 30005-4509 | 2006-06-22 |
| 1740256585 | James E. Bean Jr. | Physician Assistant | 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 | 2006-02-23 |
| 1205436813 | Jennifer Khong | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-11-01 |
| 1649879818 | Dana Lee Cole | Physician Assistant | 3400 Old Milton Pkwy Ste C270, Alpharetta, GA 30005-4414 | 2020-10-20 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on RICHARD HENRY SULLIVAN III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.