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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MANLY JACKSON SULLIVAN MEDICAL DOCTOR
NPI 1003804352
Emergency Medicine in Carrollton, AL

Active since October 11, 2005PECOS Enrolled
241 ROBERT K WILSON DR, CARROLLTON, AL 35447(205) 367-2408(205) 367-9123 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Manly Jackson Sullivan Medical Doctor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANLY JACKSON SULLIVAN MEDICAL DOCTOR (NPI 1003804352) is an individual emergency medicine provider in Carrollton, Alabama, licensed in Alabama (20081) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1995).

NPPES Registry Identity

NPI1003804352
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MANLY JACKSON SULLIVANCredential: MEDICAL DOCTOR
Location Address241 ROBERT K WILSON DRCarrollton, AL 35447-8010
Mailing Address241 Robert K Wilson DrCarrollton, AL 35447-8010 · (205) 367-2408 · Fax (205) 367-9123
Phone(205) 367-2408
Fax(205) 367-9123
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1995
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003804352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · 20081
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
241 ROBERT K WILSON DR, Carrollton, AL 35447
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manly Jackson Sullivan Medical Doctor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224226709
PECOS Enrollment IDI20101228000532
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
172 services164 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
171 services161 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
68 services67 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
40 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PICKENS COUNTY MEDICAL CENTER,INC
Medicare Defined Swing Bed Unit
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-2408
SALLIE TURNER
Specialist
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-8111
PICKENS COUNTY HEALTH CARE AUTHORITY
Psychologist (Clinical)
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-1192
ESS OF CARROLLTON LLC
Emergency Medicine
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-8111
ISABEL SANDERS LPTA
Clinic/Center (Physical Therapy)
241 ROBERT K WILSON DR, PICKENS COUNTY MEDICAL CENTER
CARROLLTON, AL 35447
Pickens County (205) 367-2468
MRS. KIMBERLY MARLOW SANDERS PT
Physical Therapist
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (256) 350-1764
KYMBERLEE SHERRELL SLP
Speech-Language Pathologist
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-2468
MARGERY HARTLEY OT
Occupational Therapist
241 ROBERT K WILSON DR
CARROLLTON, AL 35447
Pickens County (205) 367-2468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manly Sullivan's NPI number?

The NPI number for Manly Sullivan is 1003804352. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Manly Sullivan located?

Manly Sullivan practices at 241 Robert K Wilson Dr, Carrollton, AL 35447. The listed phone number is (205) 367-2408.

What is Manly Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Manly Sullivan enrolled in Medicare?

Yes. Manly Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manly Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Manly Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manly Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.