Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780927897 Individual Practitioner Male Practitioner

Kevin Sullivan , PA

Physician Assistant • Smithfield, NC

Professional Overview & Biography Verified Profile Summary

Kevin Sullivan, PA is a registered healthcare professional specializing in Physician Assistant in Smithfield, NC. Practice services are available at PO BOX 1049 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Po Box 1049

Smithfield, NC 275771049

Telephone 9199383848
Fax 9199381102

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Smithfield, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
55 Specialists

Practicing in Smithfield, NC (9374 Statewide)

Telehealth Adoption Rate
5.5% 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: 2024-06-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 188169

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 26, 2024

Registered at PO BOX 1049, SMITHFIELD, NC 275771049 (Tel: 9199383848)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2024

Physician Assistant (License #188169 in NC)

NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2013

Registered at 83 LEWIS STREET, DRYDEN, NY 13053 (Tel: 6078448201)

📍
Updated Business Mailing Address March 27, 2013

Registered at 83 LEWIS STREET POB 669, DRYDEN, NY 13053 (Tel: 6078448201)

👤
Provider Name / Credentials Updated March 27, 2013

Recorded as KEVIN SULLIVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Physician Assistant (License #016376-1 in NY)

🟢
Initial NPI Registration & Enumeration March 27, 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: 1780927897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2013
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

83 Lewis Street Pob 669

Dryden, NY 13053

Phone: 6078448201

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.