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

Sadie Anabel Sullivan

Individual provider Physician Assistant · NPI 1720877087

Sadie Anabel Sullivan is a Physician Assistant in Kernersville, North Carolina. Qualified in 2025, 1 year ago. Practices with Kernersville Emergency Group, PLLC, a 52-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone: (336) 564-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1720877087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2025
Last updated in NPPESMay 3, 2025
Certification dateMay 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kernersville Emergency Group, Pllc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kernersville