Callie Rebecca Sullivan, DNP, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP325416 Issued in GA

Practice address

119 Ambulance Dr
Carrollton, GA 30117-3867

Phone

(770) 812-5837

Fax

(770) 812-5838

NPI assigned

Apr 14, 2020

Last updated

Jul 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 GA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore First Health Riverdale LLCGroup PAC ID 5890141550, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: callie.sullivan.1@28696.direct.athenahealth.com

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.

• Restore First Health Riverdale LLC

  • Rheumatology Physician
  • Riverdale, GA
  • NPI 1497439509
  Medicare reassignment Care Compare group NPD
• Duluth Regenerative and Joint Institute LLC

  dba Restore First Health

  • Rheumatology Physician
  • Johns Creek, GA
  • NPI 1609428325
  Medicare reassignment NPD
• Prime Regen Decatur

  • Rheumatology Physician
  • Decatur, GA
  • NPI 1811668593
  Medicare reassignment NPD
• Restore First Health Marietta LLC

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1487378071
  Medicare reassignment NPD
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1265051767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173867",
            "telephone_number": "770-812-5837",
            "fax_number": "770-812-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173867",
            "telephone_number": "770-812-5837",
            "fax_number": "770-812-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CALLIE",
        "middle_name": "REBECCA",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP325416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Darby Strickland, CNP
• Jackie Lee Stringfellow, M.D.
• Christopher Strong, CSFA
• Edward Lee Stuart, CRNA
• Sushma Sudhi, DO
• Michael John Sullivan, AGANP-C
• Sunset Bloom Counseling
• Kevin Swatek, DC
• Jasie Swicord, NP-C
• Rebecca B. Switzer, L.P.C.

• Family Nurse Practitioner in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.

Verify at the official NPI Registry.