Active NPI
Juliana B Sullivan, DO
- Allergy & Immunology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2021-01568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124525506 | Medicaid | NC | |
| NNS297A | Other | NC | MEDICARE 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
Enrollment records 1
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 PLLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| NPI 1508468638 | Allergy & Immunology | Current | 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.
-
- Allergy & Immunology Physician
- Asheville, NC
- NPI 1205826559
-
- Allergy & Immunology Physician
- Chapel Hill, NC
- NPI 1720344047
-
- Allergy & Immunology Physician
- Fayetteville, NC
- NPI 1073503470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.