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Candice Darchell Sullivan , NP

Nurse Practitioner β€’ Stockbridge, GA

Active NPI 1811636822 Individual Practitioner Female Practitioner
Practice location in NPPES

1240 Eagles Landing Pkwy Ste 280
Stockbridge, GA 302815173

Call 7705075055 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1240 Eagles Landing Pkwy Ste 280

Stockbridge, GA 302815173

Telephone 7705075055
Organization at the Same NPPES Address or Phone
Southern Crescent Breast Specialists,pc Facility NPI 1922173723

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Atlanta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Candice Sullivan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Candice Sullivan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Stockbridge and Georgia

31 active clinicians are listed under Nurse Practitioner with a practice address in Stockbridge, GA (3,158 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stockbridge

6.5% of these 31 clinicians have the CMS telehealth indicator.

48.4% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA RN242143

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES GA RN242143

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250903002209

Enrollment State Jurisdiction

GA

PECOS Control ID

5799287496

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1520 Clifton Rd Ne

Atlanta, GA 303224201

Phone: 4047277980

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1356555718

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Jean-Louis , DO

Surgery - Surgical Oncology

NPI 1477964278

Doctor of Osteopathic Medicine (D.O.)

Samantha Stoddard

Nurse Practitioner

NPI 1811938111
NPI 1326208158

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 07, 2025

Registered at 1240 EAGLES LANDING PKWY STE 280, STOCKBRIDGE, GA 302815173 (Tel: 7705075055)

🏒
Secondary Practice Location Registered August 07, 2025

Additional practice office at 1520 Clifton Rd NE, Atlanta, GA 303224201

πŸ‘€
Provider Name / Credentials Updated August 07, 2025

Recorded as CANDICE SULLIVAN, NP

βœ…
NPI Profile Active May 31, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2022

Registered at 1520 CLIFTON RD NE, ATLANTA, GA 303224201 (Tel: 4047277980)

πŸ“
Business Mailing Address (Initial Record) May 31, 2022

Registered at 2933 RATON PATH, LITHONIA, GA 300382980 (Tel: 6784690490)

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2022

Recorded as CANDICE SULLIVAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2022

Registered Nurse (license number reported to NPPES: GA RN242143)

🟒
Initial NPI Registration & Enumeration May 31, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811636822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2022
Last Update: August 07, 2025
Sole Proprietor: Yes

Other Nurse Practitioners in Stockbridge

All Nurse Practitioners in Stockbridge

Mailing Address

2933 Raton Path

Lithonia, GA 300382980

Phone: 6784690490

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.