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Alyssa Leigh Sullins

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

8045 Providence Rd Ste 300, Charlotte, NC 28277-8915

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA SULLINS.

Based on the most recent information from CMS, provider Alyssa Leigh Sullins is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215575733
Provider Type
Individual
Full Name
Sullins, Alyssa Leigh
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/16/2019
Last Updated
2/17/2025

Contact Information

Practice Location

8045 Providence Rd Ste 300, Charlotte, NC 28277-8915

(704) 319-0215

Unlisted Fax

Mailing Location

8045 Providence Rd Ste 300, Charlotte, NC 28277-8915

(704) 319-0215

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-09434 North Carolina

Alyssa Leigh Sullins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kenney, Ethan Raymond

Bagley, Sarah Kathryn

Mencel, Johanna Elizabeth Hughes

Ross, Taylor

Gallo, Julie Helen

Bevins, Melissa Haikal

Corlett, Eric James

Thigpen, Christine Marie

Snow, Matthew Raymond

Mobile Urgent Care Of The Carolinas