Individual provider · Type 1 NPI

Stephanie Tiv Sullivan, PA-C

Physician Assistant · Cumming, GA

NPI number 1194160044 Active

Practice location

1230 Bald Ridge Marina Rd Ste 300
Cumming, GA 30041-7859

Call (770) 814-8222 Map

Fax (678) 205-5111

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice locations

  • 3020 Highway 124, Snellville, GA 30039-4614 · (770) 978-1331
  • 3370 Paddocks Pkwy, Suwanee, GA 30024-9119 · (770) 814-8222
  • 1519 Johnson Ferry Rd Ste 175, Marietta, GA 30062-6411 · (770) 814-8222
  • 3331 Hamilton Mill Rd Ste 1106, Buford, GA 30519-7226 · (770) 814-8222
  • 3850 Pleasant Hill Rd, Duluth, GA 30096-4807 · (770) 814-8222

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1194160044

Stephanie Tiv Sullivan, PA-C's National Provider Identifier is 1194160044, issued on May 6, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cumming, GA. The record was last updated on Mar 31, 2026.