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

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: October 18, 2026.

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

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, maintains a secondary practice location in Winston Salem, 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
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Other Names 1

Former Name (1)Dr. Kimberly Annette Simmons Md

Secondary Practice Location 1

Location 11806 S Hawthorne Rd Ste 200Winston Salem, NC 27103-4014 · Phone (336) 718-3170 · Fax (336) 718-9266

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 Health and more.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. 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kimberly Sullivan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1841620846 (Mississippi)
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000
Obhg Mississippi, P.C.
0.9 mi
Obstetrics & Gynecology
1225 N STATE ST STE B1
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Obhg Mississippi PC
  • 145 clinicians in this Medicare group
NPI 1083995674 (800) 967-2289
Haven Pregnancy Wellness & Women's Health, LLC
6.1 mi
Obstetrics & Gynecology
302 HIGHLAND PARK CV STE B
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Haven Pregnancy Wellness & Womens Health LLC
  • 13 clinicians in this Medicare group
NPI 1336824978 (601) 707-3970
North Mississippi Medical Center, Inc.
108 mi
Pain Medicine
1207 HIGHWAY 182 W STE D
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 581 clinicians in this Medicare group
NPI 1205616802 (662) 498-8810
Monroe Health Services, Inc.
150 mi
Maternal & Fetal Medicine
1105 EARL FRYE BLVD
Amory, MS 38821
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1689282345 (662) 257-2330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
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 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.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5338.

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.

Is Kimberly Sullivan enrolled in Medicare?

Yes. Kimberly 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 Kimberly Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sullivan reassigns Medicare benefits to 5 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Obhg Mississippi, P.C. (Jackson, MS), Haven Pregnancy Wellness & Women's Health, LLC (Ridgeland, MS), North Mississippi Medical Center, Inc. (Starkville, MS) and Monroe Health Services, Inc. (Amory, 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 Kimberly Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly 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 Kimberly 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 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.