Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194160044 Individual Practitioner Female Practitioner

Stephanie Tiv Sullivan , PA-C

Physician Assistant • Cumming, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Sullivan, PA-C is a certified Physician Assistant practicing in Cumming, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Stephanie Sullivan delivers high-quality medical care to the local community at 1230 BALD RIDGE MARINA RD STE 300.

Stephanie Sullivan is affiliated with North Atlanta Dermatology and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1230 Bald Ridge Marina Rd Ste 300

Cumming, GA 300417859

Telephone 7708148222
Fax 6782055111
Associated Practice Facility / Clinic
🏢 North Atlanta Dermatology Facility NPI 1427040799

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cumming, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.2 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Cumming, GA (4726 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (13 Years) 13 Yrs
Cumming Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
343 54 $13.19 $5.54
99213 Established patient office or other outpatient visit, typically 15 minutes
127 101 $179.65 $76.01
17000 Destruction of skin growth
106 78 $134.35 $44.54
11102 Tangential biopsy of single skin lesion
97 80 $199.29 $78.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
77 54 $249.16 $107.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
60 56 $111.65 $47.49
17110 Destruction of up to 14 skin growths
46 32 $221.07 $94.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
39 39 $219.08 $93.82
11103 Biopsy of related skin growth, each additional growth
34 22 $99.20 $42.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
21 18 $356.11 $138.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
17 17 $325.89 $140.42

Medical Specialties & State Licenses

CMS Verified: 2026-03-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

North Atlanta Dermatology

3331 Hamilton Mill Rd, Buford, GA 305197226

Phone: 7708148222

North Atlanta Dermatology

3370 Paddock Pkwy, Suwanee, GA 300249119

Phone: 7708148222

North Atlanta Dermatology

1230 Bald Ridge Marina Rd, Cumming, GA 300417859

Phone: 7708148222

Secondary Practice Locations

3020 Highway 124

Snellville, GA 300394614

Phone: 7709781331

3370 Paddocks Pkwy

Suwanee, GA 300249119

Phone: 7708148222

1519 Johnson Ferry Rd Ste 175

Marietta, GA 300626411

Phone: 7708148222

3331 Hamilton Mill Rd Ste 1106

Buford, GA 305197226

Phone: 7708148222

3850 Pleasant Hill Rd

Duluth, GA 300964807

Phone: 7708148222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003808361

Doctor of Medicine (M.D.)

Dr. Brandon Burroway , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1023646064

Doctor of Medicine (M.D.)

Valery Dinh , PA-C

Physician Assistant

NPI 1023795531

Physician Assistant (Certified)

NPI 1134111495

Doctor of Medicine (M.D.)

Monica Sohani , PA-C

Physician Assistant

NPI 1225476492

Physician Assistant (Certified)

Anjana Patel , PA

Physician Assistant

NPI 1285627505

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 31, 2026

Registered at 1230 BALD RIDGE MARINA RD STE 300, CUMMING, GA 300417859 (Tel: 7708148222)

📍
Updated Business Mailing Address March 31, 2026

Registered at PO BOX 23329, NEW YORK, NY 100873329

📍
Updated Business Mailing Address February 10, 2023

Registered at 3850 PLEASANT HILL RD, DULUTH, GA 300964807 (Tel: 4044521684)

NPI Profile Active October 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2015

Registered at 3020 HIGHWAY 124, SNELLVILLE, GA 300394614 (Tel: 7709781331)

📍
Updated Business Mailing Address October 02, 2015

Registered at 3020 HIGHWAY 124, SNELLVILLE, GA 300394614

👤
Provider Name / Credentials Updated October 02, 2015

Recorded as STEPHANIE SULLIVAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194160044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2013
Last Update: March 31, 2026
Sole Proprietor: No

Mailing Address

Po Box 23329

New York, NY 100873329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.