DR. JOHN MAGRUDER SULLIVAN III MD
NPI 1043872948
Surgery - Plastic and Reconstructive Surgery in Jackson, MS
About Dr. John Magruder Sullivan Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MAGRUDER SULLIVAN III MD (NPI 1043872948) is an individual plastic and reconstructive surgery provider in Jackson, Mississippi, licensed in Mississippi (T-3879) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Merit Health Wesley, and is a graduate of University Of Mississippi School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
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. John Magruder Sullivan Iii Md 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
2Medicare enrollment records show John Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 86 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Merit Health Wesley
Acute Care Hospitals · Hattiesburg, MSOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 John Sullivan's NPI number?
The NPI number for John Sullivan is 1043872948. It was assigned to this individual provider in the NPPES registry on July 1, 2019.
Where is John Sullivan located?
John Sullivan practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is John Sullivan's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is John Sullivan enrolled in Medicare?
Yes. John 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 John Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Sullivan reassigns Medicare benefits to 2 organizations: Plastic Surgery Center Of Hattiesburg, PLLC (Hattiesburg, MS) and Wesley Physician Services LLC (Hattiesburg, MS). 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 John Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Sullivan accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list John 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.
Is John Sullivan affiliated with any hospitals?
According to CMS data, John Sullivan is affiliated with Merit Health Wesley.
When was this NPI record last updated?
The NPPES record for John Sullivan was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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. John Magruder Sullivan III, MD · NPI 1043872948
Plastic and Reconstructive Surgery physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1043872948 (Entity type: Individual)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** T-3879 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Plastic Surgery Center Of Hattiesburg, PLLC (NPI 1396895413, Hattiesburg, MS); Wesley Physician Services LLC (NPI 1538200209, Hattiesburg, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** July 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1043872948) · Data from the CMS NPPES public registry.