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

Individual provider Physician Assistant · NPI 1194160044

Stephanie Tiv Sullivan, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2013, 13 years ago. Practices with North Atlanta Dermatology, a 17-clinician group, works from 6 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
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

1230 Bald Ridge Marina Rd Ste 300
Cumming, GA 30041-7859
Phone: (770) 814-8222
Fax: (678) 205-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 3331 Hamilton Mill Rd Ste 1106, Buford, GA 30519-7226 — (770) 814-8222
  • 3850 Pleasant Hill Rd, Duluth, GA 30096-4807 — (770) 814-8222
  • 1519 Johnson Ferry Rd Ste 175, Marietta, GA 30062-6411 — (770) 814-8222
  • 3020 Highway 124, Snellville, GA 30039-4614 — (770) 978-1331
  • 3370 Paddocks Pkwy, Suwanee, GA 30024-9119 — (770) 814-8222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194160044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Atlanta Dermatology — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cumming