DR. ANDRE JAWANN SULLIVAN M.D.
NPI 1023162559
Psychiatry & Neurology - Psychiatry in Tyndall Afb, FL

Q: 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.

Q: What is Andre Sullivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: 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 4 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.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

94.91/100

CMS Quality Rating

325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403(703) 731-2566 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, Dec 3, 2018 (2 updates tracked since 2018).

On this page

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 and is a graduate of Meharry Medical College School Of Medicine (1999).

NPPES Registry Identity

NPI1023162559

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANDRE JAWANN SULLIVANCredential: M.D.

Location Address325 MDG, 340 MAGNOLIA CIRCLETyndall Afb, FL 32403

Mailing Address325 Mdg, 340 Magnolia CircleTyndall Afb, FL 32403 · (703) 731-2566

Phone(703) 731-2566

Sole ProprietorYes

Medical School CMSMeharry Medical College School Of MedicineGraduated 1999

Enumeration DateJanuary 22, 2007

Last NPPES UpdateApril 21, 20262 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1023162559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in TX · R9446✔ Licensed in ID · M-16066✔ Licensed in IL · 036.175093

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 41880 (TN)

325 MDG, 340 MAGNOLIA CIRCLE, Tyndall Afb, FL 32403

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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. 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.

PECOS PAC ID6406917285

PECOS Enrollment IDI20181219002884, I20200626000827, I20250113003614, I20250204001435, I20250319003181, I20250404000535, I20250404001819, I20250624003109

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 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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427

A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.

53 services52 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

26 services26 patients

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408

A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.

17 services15 patients

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.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

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.

MR. ERIC JAMES KIRWAN LISW

Social Worker