Individual provider Active NPI

Frank James Sullen Jr.

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1740723147
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-122658 Issued in AL
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

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170607003206 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830467273 Reassigns benefits to 2 organizations

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
Newton Anesthesia Services, LLCGroup PAC ID 9830463140, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Apr 2, 2017 Accepting new patients
Newton Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 22, 2020 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 PastSince Jan 19, 2020 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.

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.

Verify at the official NPI Registry.