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Active NPI 1174263776 Individual Practitioner Female Practitioner

Kayla Sullivan

Clinical Exercise Physiologist • Roswell, GA

Professional Overview & Biography Verified Profile Summary

Kayla Sullivan is a registered healthcare professional specializing in Clinical Exercise Physiologist in Roswell, GA. Practice services are available at 1455 OLD ALABAMA RD STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1455 Old Alabama Rd Ste 160

Roswell, GA 300762167

Telephone 6786363073
Associated Practice Facility / Clinic
🏢 Avery Partners, Llc Facility NPI 1306140215

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Exercise Physiologist in Roswell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Roswell, GA (20 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: 2022-03-31
Clinical Exercise Physiologist Primary Specialty

NUCC Taxonomy Code: 224Y00000X

State License GA 1068650

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2022

Registered at 1455 OLD ALABAMA RD STE 160, ROSWELL, GA 300762167 (Tel: 6786363073)

📍
Updated Business Mailing Address March 31, 2022

Registered at 1455 OLD ALABAMA RD STE 160, ROSWELL, GA 300762167

👤
Provider Name / Credentials Updated March 31, 2022

Recorded as KAYLA SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2022

Clinical Exercise Physiologist (License #1068650 in GA)

🟢
Initial NPI Registration & Enumeration March 31, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174263776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2022
Last Update: March 31, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1455 Old Alabama Rd Ste 160

Roswell, GA 300762167

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.