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

Elexa Sullivan, PA

Individual provider Physician Assistant · NPI 1760359400

Elexa Sullivan, PA is a Physician Assistant in Lebanon, Tennessee. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2025, 1 year ago. Practices with Anycare LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
TN
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

702 S Cumberland St
Lebanon, TN 37087-4110
Phone: (615) 444-2121
Fax: (615) 547-6474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6839 (TN)

Record details

NPI number1760359400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2025
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address702 S Cumberland St, Lebanon, TN 37087-4110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2025 (1 years in practice)
Group practice Anycare Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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