DR. ANDRE JAWANN SULLIVAN M.D.
NPI 1023162559
Psychiatry & Neurology - Psychiatry in Tyndall Afb, FL
About Dr. Andre Jawann Sullivan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDRE JAWANN SULLIVAN M.D. (NPI 1023162559) is an individual psychiatry provider in Tyndall Afb, Florida, licensed in Texas (R9446) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Meharry Medical College School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andre Jawann Sullivan M.d. 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.
Medicare Billing Reassignments
17Medicare enrollment records show Andre Sullivan reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dothan, AL 36305
- Reassigned Medicare billing, Alabama, District of Columbia, Florida, Idaho, Illinois, Louisiana, Massachusetts, Maryland, Michigan, Missouri, North Carolina, Nebraska, New Jersey, Pennsylvania, South Carolina, Tennessee, Texas, Virginia and Wisconsin enrollments
- Medicare enrollment name: Access Telecare PLLC
- Also billed through NPI 1013303080 (Wisconsin)
- 149 clinicians in this Medicare group
Lufkin, TX 75901
- Reassigned Medicare billing, Texas enrollment
- 150 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California and Maryland enrollments
- Medicare enrollment name: Access Telecare California PC
- 194 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, North Carolina enrollment
- 63 clinicians in this Medicare group
Waco, TX 76701
- Reassigned Medicare billing, Texas enrollment
- 172 clinicians in this Medicare group
Austin, TX 78751
- Reassigned Medicare billing, Texas enrollment
- 253 clinicians in this Medicare group
Lytle, TX 78052
- Reassigned Medicare billing, Texas enrollment
- 152 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 391 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYNDALL AFB, FL 32403
TYNDALL AFB, FL 32403
TYNDALL AFB, FL 32403
TYNDALL AFB, FL 32403
TYNDALL AFB, FL 32403
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 Andre Sullivan's NPI number?
The NPI number for Andre Sullivan is 1023162559. It was assigned to this individual provider in the NPPES registry on January 22, 2007.
Where is Andre Sullivan located?
Andre Sullivan practices at 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403. The listed phone number is (703) 731-2566.
What is Andre Sullivan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Andre Sullivan enrolled in Medicare?
Yes. Andre 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.
Which organizations bill Medicare for Andre Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andre Sullivan reassigns Medicare benefits to 17 organizations: Triad Of Alabama LLC (Dothan, AL), Burke Center (Lufkin, TX), Access Telecare California, P.C. (Dallas, TX), Forefront-Matteson Medical Services PC (Dallas, TX), Heart Of Texas Region Mhmr Center (Waco, TX) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andre Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Moda Health Plan, Inc. and 2 other insurers list Andre 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 Andre Sullivan was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Andre Jawann Sullivan, M.D. · NPI 1023162559
Psychiatry physician in Tyndall Afb, Florida. Individual provider, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1023162559 (Entity type: Individual)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** R9446 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 325 MDG, 340 MAGNOLIA CIRCLE, Tyndall Afb, FL 32403
- **Phone:** (703) 731-2566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 17 organizations under Medicare reassignment (form CMS-855R): Triad Of Alabama LLC (NPI 1801830500, Dothan, AL); Burke Center (NPI 1396792420, Lufkin, TX); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX); Forefront-Matteson Medical Services PC (NPI 1659982551, Dallas, TX); Heart Of Texas Region Mhmr Center (NPI 1639399132, Waco, TX); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023162559) · Data from the CMS NPPES public registry.