Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin L. Sullivan, MD

Individual provider Diagnostic Radiology Physician · NPI 1447276225

Dr. Kevin L. Sullivan, MD is a Diagnostic Radiology in Decatur, Georgia. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1981, 45 years ago. Practices with Preferred Vascular Services Northeast, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia and Pennsylvania.

Years since qualifying
45
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
GA, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 Ponce De Leon Ave Ste 100
Decatur, GA 30030-3406
Phone: (404) 377-9171
Fax: (404) 377-9172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 053430 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD027085E (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD027085E (PA)

Record details

NPI number1447276225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJuly 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1981 (45 years in practice)
Group practice Preferred Vascular Services Northeast — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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