Jerry Sullivan, PA
Jerry Sullivan, PA is a Physician Assistant in Tifton, Georgia. Qualified in 2004, 22 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 22
- Licensed in
- GA
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2225 US Highway 41 NTifton, GA 31794-2749
Phone: (229) 391-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 004285 (GA) |
|---|
Record details
| NPI number | 1629062724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 2, 2005 |
| Last updated in NPPES | April 6, 2021 |
| Certification date | April 6, 2021 |
| Mailing address | 907 18th St E Ste 400, Tifton, GA 31794-3684 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Tift Regional Health System Inc — 292 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Tifton
-
Lisa M Buschlen, PAC
1805 Tift Ave N Ste D, Tifton, GA 31794-3579 · (229) 382-5554
-
Maureen Johnson, PA-C
1401 Tift Ave N Ste B, Tifton, GA 31794-3585 · (229) 382-5554
-
Mr. Terry Lee Morgan, PAC
1111 20th St E, Tifton, GA 31794-3689 · (229) 382-9338
-
Mr. Robert Jay Muterspaugh, PA-C
802 18th St E, Tifton, GA 31794-3661 · (229) 386-9333