DR. KIMBERLY SIMMONS SULLIVAN MD
NPI 1114453594
Obstetrics & Gynecology - Maternal & Fetal Medicine in Jackson, MS

Q: What is Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1114453594. It was assigned to this individual provider in the NPPES registry on May 4, 2017. The provider is also known as Dr. Kimberly Annette Simmons MD.

Q: What is Kimberly Sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Sullivan was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 984-5338(601) 815-4112 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, Jun 27, 2024, Jul 8, 2021 (3 updates tracked since 2021).

On this page

About Dr. Kimberly Simmons Sullivan Md NPPES

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

DR. KIMBERLY SIMMONS SULLIVAN MD (NPI 1114453594) is an individual maternal & fetal medicine provider in Jackson, Mississippi, licensed in Mississippi (T-3432) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114453594

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameDR. KIMBERLY SIMMONS SULLIVANCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5338 · Fax (601) 815-4112

Phone(601) 984-5338

Fax(601) 815-4112

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 4, 2017

Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1114453594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in MS · T-3432✔ Licensed in NC · 2024-02098

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kimberly Annette Simmons Md

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. Kimberly Simmons Sullivan 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 ID9830463694

PECOS Enrollment IDI20211215002431

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

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)