Active NPI
Kaitlin O'Sullivan, AGACNP
- Acute Care Nurse Practitioner
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN255834
- Practice address
- 11705 Mercy Blvd
Savannah, GA 31419-1711 - Phone
- (912) 819-5999
- NPI assigned
- Jan 10, 2022
- Last updated
- Nov 5, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN255834 | GA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | RN255834 | GA |
Addresses
Primary practice location
11705 Mercy Blvd
Savannah, GA 31419-1711
Mailing address
340 Hodgson CT Ste 4
Savannah, GA 31406-1523
Phone (912) 927-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chattanooga, TN 37422
PO Box
Suite 22757
Chattanooga, TN 37422-2757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN255834 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Lung & Critical Care Specialists | Current | Accepting new patients | |
| Southeast Lung & Critical Care Specialists, P.C. | Current | Accepting new patients |
Locations
601 E General Stewart Way
Hinesville, GA 31313
Phone (912) 355-4557
131 Silverwood Ct
Ste 100
Rincon, GA 31326
Phone (912) 826-3927
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
340 Hodgson Ct
Ste 2
Savannah, GA 31406
Phone (912) 590-5797
340 Hodgson Ct
Ste 4
Savannah, GA 31406
Phone (912) 429-0841
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Lung Associates
- Specialist
- Savannah, GA
- NPI 1740244276
-
dba Southeast Lung Associates
- Pulmonary Disease Physician
- Baxley, GA
- NPI 1366064164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1194486324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 HODGSON CT STE 4",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061523",
"telephone_number": "912-927-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 MERCY BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191711",
"telephone_number": "912-819-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "KAITLIN",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN255834",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN255834",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.