GARY B SULLIVAN (NPI# 1659334597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659334597 |
| Entity Type | Individual |
| Full Name | GARY B SULLIVAN |
| Credential | MD |
| Practice Address |
1523 Fair Rd Statesboro GA 30458-6025 |
| Mailing Address |
Po Box 1958 Statesboro GA 30459-1958 |
| Practice Telephone | 9128712000 |
| Practice Fax Number | 9128712500 |
| Mailing Telephone | 9128712000 |
| Mailing Fax Number | 9128712500 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30224 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000353955C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790231207 | Gary Hodges Sullivan | Specialist | 28 Alta Mont Ct, Dahlonega, GA 30533-5365 | 2016-08-26 |
| 1063862464 | Gary Sullivan | Technician, Other | 110 N Mill St, Festus, MO 63028-1816 | 2016-06-16 |
| 1235556762 | Gary Sullivan | Case Manager/Care Coordinator | 602 Weinrich Rd Trlr 6, Las Cruces, NM 88007-4857 | 2014-03-21 |
| 1437421591 | Gary S Sullivan | Social Worker | 501 Se 18th Ct, Ft Lauderdale, FL 33316-2833 | 2012-02-06 |
| 1083820740 | Gary J Sullivan | Chiropractor | 30 Semora Rd, Roxboro, NC 27573-6201 | 2007-05-16 |
| Phone | 1-912-871-2000 |
| Website | https://statesboro.com/ |
| [email protected] | |
| Description | Dr. Gary B Sullivan, FACOG, FACS is an OB/GYN who specializes in advanced treatment for chronic pelvic pain and endometriosis in women. He is the Director of The Women's Surgery Center, located at Statesboro Women's Health Specialists in southeast Georgia. |
| Street Address |
1523 FAIR RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877059 | Barbara Bostwick Williams | Obstetrics & Gynecology | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2005-08-09 |
| 1013496439 | Jaimi Patel | Physician Assistant | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2018-08-07 |
| 1831301050 | The Women's Surgery Center, LLC | Clinic/Center | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2007-05-03 |
| 1841348521 | Statesboro Ob-gyn Specialists, PC | Specialist | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2007-01-08 |
| 1316900517 | Lisa S Rogers | Specialist | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336572049 | Access Gastroenterolgy, Inc. | Specialist | 1601 Fair Rd Suite 500, Statesboro, GA 30438 | 2013-08-16 |
| 1477992725 | Orthopedic Center PC | Specialist | 16915 Highway 67 South Suite A, Statesboro, GA 30458 | 2013-06-20 |
| 1295999795 | East Georgia Pediatrics | Specialist | 715 Northside Dr E, Suite 5 Pmb 398, Statesboro, GA 30458-4712 | 2008-07-14 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1235266800 | Savannah Allergy Associates, P.C. | Specialist | 4 Bulloch St, Statesboro, GA 30458-0731 | 2007-02-28 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1750488011 | East Ga Regional Eye Center | Specialist | 21 N Zetterower Ave, Statesboro, GA 30458-7142 | 2006-09-20 |
| 1639287949 | Donald Graham | Specialist | 1211 Merchants Way, Suite 401, Statesboro, GA 30458-0867 | 2006-08-27 |
| 1063443810 | David Hale Weems | Specialist | 27 Lester Rd, Statesboro, GA 30458-4764 | 2006-07-06 |
| 1538122478 | Sidney R Washington IIi | Specialist | 1878 Brannen Lake Rd, Statesboro, GA 30458-7257 | 2006-04-11 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on GARY B SULLIVAN.
| 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.