1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Surgery
  6. NPI Profile

DR. JOHN MAGRUDER SULLIVAN III MD
NPI 1043872948
Surgery - Plastic and Reconstructive Surgery in Jackson, MS

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1043872948
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JOHN MAGRUDER SULLIVAN IIICredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address37 Enclave CirRidgeland, MS 39157-4522 · (601) 953-3304
Phone(601) 984-1000
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2025
Enumeration DateJuly 1, 2019
✔ NPI 1043872948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MS · T-3879
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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. 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.

PECOS PAC ID5698284578
PECOS Enrollment IDI20250602003624
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.

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, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250094
Location5001 W Hardy StHattiesburg, MS 39402 · Lamar County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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.

What insurance does John Sullivan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 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.