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

Individual provider Physician Assistant · NPI 1811585607

Kayla Sullivan, PA-C is a Physician Assistant in Annapolis, Maryland. Qualified in 2020, 6 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743
Phone: (410) 268-8862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12200 Warwick Blvd Ste 310, Newport News, VA 23601-2344 — (757) 534-9988

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0009357 (MD)

Record details

NPI number1811585607
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address2000 Medical Pkwy Ste 101, Annapolis, MD 21401-3743

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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