Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275249112 Individual Practitioner Male Practitioner

John Sullivan , LCSW

Counselor - Professional • Mcdonough, GA

Professional Overview & Biography Verified Profile Summary

John Sullivan, LCSW is a registered healthcare professional specializing in Counselor - Professional in Mcdonough, GA. Practice services are available at 901 PAVILION CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 Pavilion Ct

Mcdonough, GA 302536665

Telephone 6788144375
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mcdonough, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
86 Specialists

Practicing in Mcdonough, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC013465

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tiffany Sullivan , LPC

Counselor - Professional

NPI 1093061285

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2023

Registered at 901 PAVILION CT, MCDONOUGH, GA 302536665 (Tel: 6788144375)

📍
Updated Business Mailing Address January 24, 2023

Registered at 901 PAVILION CT, MCDONOUGH, GA 302536665 (Tel: 6788144375)

👤
Provider Name / Credentials Updated January 24, 2023

Recorded as JOHN SULLIVAN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2023

Counselor (License #LPC013465 in GA)

🟢
Initial NPI Registration & Enumeration January 24, 2023

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: 1275249112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2023
Last Update: January 24, 2023
Sole Proprietor: Yes

Mailing Address

901 Pavilion Ct

Mcdonough, GA 302536665

Phone: 6788144375

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.