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

Kassidy Sullivan

Individual provider Anesthesiology Physician · NPI 1629812698

Kassidy Sullivan is an Anesthesiology Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

1120 15th St # BI-2144
Augusta, GA 30912-0004
Phone: (706) 721-3871
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 16771 (GA)

Record details

NPI number1629812698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address209 Runnel Vw, North Augusta, SC 29841-6090

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