Troy Sullivan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

045984 Issued in GA

Practice address

125 W Gibson St
Hartwell, GA 30643-1848

Phone

(706) 856-6939

Fax

(706) 856-6199

NPI assigned

May 24, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hart County Internal Medicine, LLC

  • Internal Medicine Physician
  • Hartwell, GA
  • NPI 1053368597
  Authorized official Same address or phone
• Ty Cobb Healthcare System

  dba Cobb Memorial Hospital

  • Rural Acute Care Hospital
  • Royston, GA
  • NPI 1083711691
  NPD (past)
• Ty Cobb Healthcare System, Inc

  dba Carnesville Family Practice

  • Specialist
  • Carnesville, GA
  • NPI 1245533132
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396790614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431848",
            "telephone_number": "706-856-6939",
            "fax_number": "706-856-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431848",
            "telephone_number": "706-856-6939",
            "fax_number": "706-856-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAID",
            "identifier": "045984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "G45984",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA799",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Melvin Smith Jr., D.M.D.
• Sreeroopsen M.D. LLC
• Stephens County Hospital Physician Group, LLC (SCHPG-Surgical Associates)
• Laura Patricia Strickland, L.AC., LMT
• Ting-Yean W. Sullivan, MD
• T&S Cares LLC
• The Cobb Foundation, Inc (Hartwell Health Care Center)
• The Cobb Foundation, Inc. (Hart County Hospital Swingbed)
• The Cobb Foundation, Inc. (Hart County Hospital)
• Penny T Thomas

• Family Medicine Physician in Hartwell, GA
• Providers in Hartwell, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.