Individual provider Active NPI

Juliana B Sullivan, DO

  • Allergy & Immunology Physician
  • Chapel Hill, NC
National Provider Identifier
1124525506
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2021-01568 Issued in NC
Practice address
101 Cosgrove Ave Ste 110
Chapel Hill, NC 27514-5278
Phone
(919) 929-9612
Fax
(919) 929-9182
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2021-01568 NC Primary

Addresses

Primary practice location

101 Cosgrove Ave Ste 110
Chapel Hill, NC 27514-5278

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 2

IdentifierTypeStateIssuer
1124525506MedicaidNC
NNS297AOtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720000442 NC Practitioner - Allergy/Immunology 6305196692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, shared by 21 NPIs, 144 clinicians

Practice addresses (Care Compare)

101 Cosgrove Ave
Suite 110
Chapel Hill, NC 27514-5278
Phone (919) 929-9612

5085 Morganton Rd
Suite 100
Fayetteville, NC 28314-1497
Phone (910) 323-3890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince Sep 1, 2024 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince Aug 1, 2023 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Current Accepting new patients
NPI 1508468638 Allergy & Immunology CurrentSince Aug 1, 2023 Accepting new patients

Locations

101 Conner Dr
Ste 301
Chapel Hill, NC 27514
Phone (919) 929-9612

101 Cosgrove Ave
Ste 110
Chapel Hill, NC 27514
Phone (919) 929-9612

5085 Morganton Rd
Ste 100
Fayetteville, NC 28314
Phone (910) 323-3890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124525506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COSGROVE AVE STE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145278",
            "telephone_number": "919-929-9612",
            "fax_number": "919-929-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JULIANA",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2021-01568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124525506",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NNS297A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.