Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760359400 Individual Practitioner Female Practitioner

Elexa Sullivan , PA

Physician Assistant • Lebanon, TN

Professional Overview & Biography Verified Profile Summary

Elexa Sullivan, PA is a certified Physician Assistant practicing in Lebanon, TN. With approximately 1 years of clinical experience since graduating from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2025, Elexa Sullivan delivers high-quality medical care to the local community at 702 S CUMBERLAND ST.

Elexa Sullivan does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

702 S Cumberland St

Lebanon, TN 370874110

Telephone 6154442121
Fax 6155476474
Associated Practice Facility / Clinic
🏢 Anycare Llc Facility NPI 1780022855

Medicare Profile & Education

Medical School

Lincoln Mem Univ, Debusk Col Of Osteopathic Med

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lebanon, TN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Lebanon, TN (3096 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (1 Years) 1 Yrs
Lebanon Specialty Average (11.8 Years) 11.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 6839

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Cyrus Nabavi , PA

Physician Assistant

NPI 1235995093

Physician Assistant

Suzanne Shimaitis , PA-C

Physician Assistant

NPI 1285718874

Physician Assistant (Certified)

Vaishali Patel , PA

Physician Assistant

NPI 1366021230

Physician Assistant

Merritt Burdge , APRN

Nurse Practitioner - Family

NPI 1427694520

Advanced Practice Registered Nurse

Jeremy Seaborn , NP

Nurse Practitioner - Family

NPI 1487844858

Nurse Practitioner

Demetria Richards , APRN

Nurse Practitioner - Family

NPI 1952032294

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Physician Assistant (License #6839 in TN)

📍
Updated Practice Location February 10, 2026

Registered at 702 S CUMBERLAND ST, LEBANON, TN 370874110 (Tel: 6154442121)

📍
Updated Business Mailing Address February 10, 2026

Registered at 702 S CUMBERLAND ST, LEBANON, TN 370874110 (Tel: 6154442121)

📍
Updated Practice Location November 20, 2025

Registered at 6965 CUMBERLAND GAP PKWY, HARROGATE, TN 377528245 (Tel: 9314340324)

📍
Updated Business Mailing Address November 20, 2025

Registered at 6965 CUMBERLAND GAP PKWY, HARROGATE, TN 377528245

NPI Profile Active October 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2025

Registered at 132 NOBLE PARK PVT CIR, GALLATIN, TN 370664968 (Tel: 9314340324)

📍
Updated Business Mailing Address October 18, 2025

Registered at 132 NOBLE PARK PVT CIR, GALLATIN, TN 370664968

👤
Provider Name / Credentials Updated October 18, 2025

Recorded as ELEXA SULLIVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 18, 2025

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: 1760359400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2025
Last Update: July 24, 2026
Sole Proprietor: No

Mailing Address

702 S Cumberland St

Lebanon, TN 370874110

Phone: 6154442121

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.