Allison Sullivan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

120 N Carolina St
New Roads, LA 70760-3604

Phone

(225) 713-4044

Fax

(225) 208-1188

NPI assigned

Sep 28, 2022

Last updated

Aug 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Pediatric Group of Acadiana, LLC

  • Specialist
  • Lafayette, LA
  • NPI 1265499628
  Medicare reassignment NPD (past)
• Pediatric Group of Acadiana LLC

  dba Kaplan Family Care Clinic

  • Rural Health Clinic/Center
  • Kaplan, LA
  • NPI 1922619238
  NPD
• Pediatric Group of Acadiana, LLC

  dba St. Martinville Maternal-Child Clinic

  • Rural Health Clinic/Center
  • Saint Martinville, LA
  • NPI 1922283225
  NPD
• Pediatric Group of Acadiana, LLC

  dba Oxbow Family Practice

  • Rural Health Clinic/Center
  • New Roads, LA
  • NPI 1477027894
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1255055760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HACKER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604508",
            "telephone_number": "337-330-2576",
            "fax_number": "337-417-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CAROLINA ST",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707603604",
            "telephone_number": "225-713-4044",
            "fax_number": "225-208-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALLISON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naydean Lashon Ruffin-Brisco
• Kathleen Marie Shaw, LPC
• Southern Wellness
• Caroline Stagg, FNP
• Darica Strong, PTA
• The Headstrong Group, L.L.C.
• The Therapy Center
• Therapeutic Refuge, LLC
• Therapy Center for Physical Rehabilitation and Wellness, LLC
• Maia Thibadeaux

• Physician Assistant in New Roads, LA
• Providers in New Roads, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.