Kevin Sullivan
Pediatrics Physician · Kennesaw, GA
Kevin Sullivan is a pediatrics physician with a practice address in Kennesaw, Georgia, and NPI 1003497801, issued on Apr 14, 2021. Check the license (Georgia 101921, as entered in NPPES) on the Georgia Composite Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kevin Sullivan
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 101921 GA
Self-reported in NPPES; status is on the state search - Practice location
- 3150 Cobb Pkwy NW Ste 130, Kennesaw, GA 30152
- Phone
- (770) 966-0778
- Enumerated
- Apr 14, 2021
- Record last updated
- Feb 26, 2025
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,258 in Georgia → Look up another NPI →
Verify Kevin Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 101921Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kevin Sullivan among 2,258 pediatrics physician records in Georgia
Kevin Sullivan is one of 2,258 pediatrics physician records with a practice address in Georgia. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 90% of them.
- NPI issued2021 · 90% of these records are older, 7% newer
- In a Medicare fileNo · 47% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2025 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 pediatrics physician records list a practice address in Kennesaw
They are 32 of the 1,723 NPPES records with a practice address in Kennesaw, and 2,258 pediatrics physician records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,258 in Georgia → Every provider in Kennesaw → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Saudiqa Hoossainy, M.D.Kennesaw, GA 301521558599084
- Kyoung-Soon Kim, MDKennesaw, GA 301521760473276
- Nathan Lynes, M.D.Kennesaw, GA 301521265799589
- Elizabeth Amodeo, MDKennesaw, GA 301441447360326
- Sabrina Clark, D.O.Kennesaw, GA 301441932527041
- Kimberly Dao-King, M.D.Kennesaw, GA 301441023403607
- Nicole Davidson, MDKennesaw, GA 301441316382328
- Constance Enmon, MDKennesaw, GA 301441093943300
Common questions
What is Kevin Sullivan's NPI number?
Kevin Sullivan's National Provider Identifier (NPI) is 1003497801, issued on Apr 14, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Sullivan located?
The NPPES record lists a practice address at 3150 Cobb Pkwy NW Ste 130, Kennesaw, GA, 30152. Phone: (770) 966-0778. Providers update this record themselves, so call before visiting.
How can I verify Kevin Sullivan's license?
NPPES lists Georgia license number 101921, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.