Heidi Ann Sullivan (NPI# 1295188498, PAC ID# 7416237094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295188498 |
| PAC ID by PECOS | 7416237094 |
| Professional Enrollment ID | I20161219000549 |
| Full Name | Heidi Ann Sullivan |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
| Phone Number | 9128194100 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719978105 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 11700 Mercy Blvd, Savannah, GA 31419-1753 | 9129271867 | SJC MEDICAL GROUP, INC |
| 11705 Mercy Blvd, Savannah, GA 31419-1711 | 9128194100 | SJC MEDICAL GROUP, INC |
| Organization Legal Name | SJC MEDICAL GROUP, INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley Randall Hendrix | Family Medicine | Sjc Medical Group, Inc | 159 W Railroad St, Pembroke, GA 31321-0190 |
| Matthew G Marshall | Neurology | Sjc Medical Group, Inc | 410 Mall Blvd E, Savannah, GA 31406-4869 |
| Aaron Webb | Nurse Practitioner | Sjc Medical Group, Inc | 423 S Columbia Ave, Rincon, GA 31326-9080 |
| David Orlando Caraballo | Physician Assistant | Sjc Medical Group, Inc | 10 Oak Forest Rd C, Bluffton, SC 29910-4974 |
| Keith A Rouse Sr. | Podiatry | Sjc Medical Group, Inc | 310 Eisenhower Dr, Bldg 7a, Savannah, GA 31406-2688 |
| Russell William Lake | Family Medicine | Sjc Medical Group, Inc | 105 Grand Central Blvd, Suite 107, Pooler, GA 31322-4148 |
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Richard J Barrett | Internal Medicine | Sjc Medical Group, Inc | 102 Bryan Woods Rd, Savannah, GA 31410-1225 |
| Frederic C Spector | Podiatry | Sjc Medical Group, Inc | 352 Commercial Dr, Savannah, GA 31406-3616 |
| Street Address |
11705 MERCY BLVD |
| City | SAVANNAH |
| State | GA |
| Zip | 31419-1711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Mihaela Saler | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Clint Richard Fenton | Physician Assistant | St Josephs Cardiology Group LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Shannon F Stewart | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Erin E Payne | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Jonas A Vanags | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Emily Robertson | Nurse Practitioner | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Mallory Williams | Physician Assistant | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Laura M Lewis-lockett | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| James R Poston | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Ralph Edgar | Pathology | Chatham Pathology Associates PC | 11705 Mercy Boulevard, Savannah, GA 31419-1711 |
| Jill P Trumble | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Brian S Raj | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Samantha Jones | Nurse Practitioner | Steward Center for Palliative Care | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Darcie C Bruce | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Karen Elaine Turner | Family Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Virginia C Stuber | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Kristen L Lonker | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Lauren E Turner | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Anna D Warren | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Find all physicians in zip 31419 | |||
| City | SAVANNAH |
| Zip Code | 31419 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAVANNAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heidi Ann Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.