MEDICARE: OLIVIA JOYCE MATHESON SULLIVAN NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN232689	GA

General Provider Information

NPI Number	:	1063032142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA JOYCE MATHESON SULLIVAN NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	1773 MACKINAW PL SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-4534
Country	:	US
Telephone Number	:	561-315-6335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 CLAIRMONT RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-4032
Country	:	US
Telephone Number	:	404-929-5345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2020
Last Update Date	:	10/09/2025

Similar Medicare Providers

1174467823 — NATASHA DUGGAL PSY.D.
Practice Location Address:

1700 CLAIRMONT RD
DECATUR, GA
30033-4032

Practice Phone: 404-321-6111
Practice Fax:

1851624993 — CECELIA DIXIE M.S.W. - LCSW
Practice Location Address:

1700 CLAIRMONT RD
DECATUR, GA
30033-4032

Practice Phone: 404-321-6111
Practice Fax: 404-929-5819

1134619653 — ANDREW WILLIAM BERNAL MLT
Practice Location Address:

1700 CLAIRMONT RD
DECATUR, GA
30033-4032

Practice Phone: 240-723-5779
Practice Fax:

1730787490 — MRS. CASHMERE M MILLER NURSE PRACTITIONER
Practice Location Address:

1700 CLAIRMONT RD
DECATUR, GA
30033-4032

Practice Phone: 404-321-6111
Practice Fax:

1053197087 — MS. GRETA ELIZABETH GREER LCSW
Practice Location Address:

2280 MARION CIR
DECATUR, GA
30032-4032

Practice Phone: 678-778-8036
Practice Fax:

1730932948 — FLOAT DECATUR, LLC
Practice Location Address:

997 W SOUTH SIDE DR
DECATUR, IL
62521-4032

Practice Phone: 217-330-6963
Practice Fax:

Directions to “ OLIVIA JOYCE MATHESON SULLIVAN NURSE PRACTITIONER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.