Callie Rebecca Sullivan, DNP, ARNP - Medicare Nurse Practitioner in Carrollton, GA

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Callie Rebecca Sullivan, DNP, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Duluth Regenerative And Joint Institute, Llc, Restore First Health Riverdale Llc and her current practice location is 119 Ambulance Dr, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-5837.

Callie Rebecca Sullivan is licensed to practice in Georgia (license number NP325416) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265051767.

Contact Information

Callie Rebecca Sullivan, DNP, ARNP
119 Ambulance Dr,
Carrollton, GA 30117-3867
(770) 812-5837
(770) 812-5838

Map and Direction




Provider's Profile

Full NameCallie Rebecca Sullivan
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location119 Ambulance Dr, Carrollton, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Callie Rebecca Sullivan graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1265051767
  • Provider Enumeration Date: 04/14/2020
  • Last Update Date: 07/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6305276627
  • Enrollment ID: I20250111000171

Medical Identifiers

Medical identifiers for Callie Rebecca Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265051767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP325416 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duluth Regenerative And Joint Institute, Llc28608245882
Restore First Health Riverdale Llc58901415502

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Callie Rebecca Sullivan allows following entities to bill medicare on her behalf.
Entity NameDuluth Regenerative And Joint Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609428325
PECOS PAC ID: 2860824588
Enrollment ID: O20191119001847
Entity NamePrime Regen Decatur
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811668593
PECOS PAC ID: 3274923503
Enrollment ID: O20211201000500
Entity NameRestore First Health Marietta Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487378071
PECOS PAC ID: 6305202268
Enrollment ID: O20230518001702
Entity NameRestore First Health Riverdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497439509
PECOS PAC ID: 5890141550
Enrollment ID: O20240202002052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Callie Rebecca Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Callie Rebecca Sullivan, DNP, ARNP
119 Ambulance Dr,
Carrollton, GA 30117-3867

Ph: (770) 812-5837		Callie Rebecca Sullivan, DNP, ARNP
119 Ambulance Dr,
Carrollton, GA 30117-3867

Ph: (770) 812-5837

Reviews and Comments


Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117
Phone: 770-836-0103    Fax: 770-834-8828
Latoya Pulliam Bexley, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 905 Dixie St, Carrollton, GA 30117
Phone: 678-796-0681    Fax: 770-836-8477
Emilia Grace Janney, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 527 Tanner St, Carrollton, GA 30117
Phone: 770-537-1234    Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    
Ronda S Phillips, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 706 Dixie St Ste 320, Carrollton, GA 30117
Phone: 770-812-9326    Fax: 770-836-9358
Sarah B Valdes, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117
Phone: 770-812-8640    Fax: 770-838-8650
Alyssa Dianne Paul, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 129 Bankhead Hwy, Carrollton, GA 30117
Phone: 770-838-8440    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.