Active NPI
Frank James Sullen Jr.
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-122658
- Practice address
- 500 Northridge Rd
Suite 330
Atlanta, GA 30350-3315 - Phone
- (404) 941-1291
- NPI assigned
- Dec 2, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-122658 | AL | Primary |
Addresses
Primary practice location
500 Northridge Rd
Suite 330
Atlanta, GA 30350-3315
Mailing address
PO Box 532926
Atlanta, GA 30353-2926
Phone (334) 430-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2055 E S Blvd
Suite 908
Montgomery, AL 36116-2007
Phone (334) 284-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Newton Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Premier Anesthesia of Florida LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775
632 2nd St NE
Alabaster, AL 35007
Phone (205) 621-0122
2104 Chestnut St
Montgomery, AL 36106
Phone (334) 613-0807
7085 Sydney Curv
Montgomery, AL 36117
Phone (334) 246-4774
2055 E South Blvd
Ste 908
Montgomery, AL 36116
Phone (334) 284-6500
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
8326 Crossland Loop
Montgomery, AL 36117
Phone (334) 549-3778
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Montgomery, AL
- NPI 1760910152
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1790330694
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1740723147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532926",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303532926",
"telephone_number": "334-430-3100",
"fax_number": "334-593-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTHRIDGE RD",
"address_2": "SUITE 330",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303503315",
"telephone_number": "404-941-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLEN",
"first_name": "FRANK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-122658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.