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

Michael John Sullivan, AGANP-C

Individual provider Gerontology Nurse Practitioner · NPI 1780043463

Michael John Sullivan, AGANP-C is a Nurse Practitioner in Carrollton, Georgia. Graduated from University of Alabama School of Medicine in 2015, 11 years ago. Practices with Apogee Medical Group Georgia, a 125-clinician group. Licensed in Georgia.

Years since qualifying
11
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

705 Dixie St Ste 401
Carrollton, GA 30117-3818
Phone: (770) 836-9326
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN209135 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN209135 (GA)

Record details

NPI number1780043463
Entity typeIndividual (Type 1)
GenderMale
Credentials AGANP-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESMarch 2, 2016
Mailing address119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Apogee Medical Group Georgia — 125 clinicians
Accepts Medicare assignment Not indicated