DONALD J SULLIVAN MD
NPI 1124268297
Pain Medicine - Pain Medicine in Memphis, TN

Q: What is Donald J Sullivan MD's NPI number?

The NPI number for Donald J Sullivan MD is 1124268297. It was assigned to this organization in the NPPES registry on March 2, 2009.

Q: What is Donald J Sullivan MD's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since March 02, 2009

4100 AUSTIN PEAY HWY, MEMPHIS, TN 38128(901) 213-5460 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2024, Mar 21, 2019 (2 updates tracked since 2019).

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About Donald J Sullivan Md NPPES

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

DONALD J SULLIVAN MD (NPI 1124268297) is a healthcare organization registered as a pain medicine in Memphis, Tennessee and active in the NPI registry since March 2009. The organization maintains 3 additional practice locations and lists Donald J Sullivan, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124268297

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameDONALD J SULLIVAN MD

Location Address4100 AUSTIN PEAY HWYMemphis, TN 38128-2502

Mailing AddressPo Box 1000 Dept 0194Memphis, TN 38148-0194 · (901) 213-5460

Phone(901) 213-5460

Organization SubpartNo

Authorized OfficialDonald J SullivanAuthorized Official · (901) 213-5460

Enumeration DateMarch 2, 2009

Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration

✔ NPI 1124268297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

4100 AUSTIN PEAY HWY, Memphis, TN 38128

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Secondary Practice Locations 3

Location 14100 Austin Peay HwyMemphis, TN 38128-2502 · Phone (901) 213-5460

Location 23960 New Covington PikeMemphis, TN 38128-2504 · Phone (901) 315-7932

Location 37691 Poplar AveMemphis, TN 38138-3904 · Phone (901) 315-7932

Other Identifiers 1

Medicaid1522858TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald J Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Donald J Sullivan MD, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dorinda Jones

Nurse Practitioner

NPI 1598075558

4100 AUSTIN PEAY HWY
Memphis, TN 38128

(901) 213-5460

✔ PECOSSame address

Barbara Dennis, NP-C

Nurse Practitioner

NPI 1831584622

4100 AUSTIN PEAY HWY
Memphis, TN 38128

(901) 213-5400

✔ PECOS✔ Accepts MedicareSame address

Amber Adams, NP

Nurse Practitioner

NPI 1053791616

6570 STAGE RD SUITE 202
Memphis, TN 38134

(901) 213-4225

✔ PECOS✔ Accepts Medicare3.5 mi

Donald Sullivan, MD

Physical Medicine and Rehabilitation

NPI 1508814484

9639 FOX HILL CIR N
Germantown, TN 38139

(901) 315-7932

✔ PECOS✔ Accepts Medicare14 mi

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

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 Donald J Sullivan MD's NPI number?

The NPI number for Donald J Sullivan MD is 1124268297. It was assigned to this organization in the NPPES registry on March 2, 2009.

Where is Donald J Sullivan MD located?

Donald J Sullivan MD is located at 4100 Austin Peay Hwy, Memphis, TN 38128. The listed phone number is (901) 213-5460.

What is Donald J Sullivan MD's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Donald J Sullivan MD enrolled in Medicare?

Yes. Donald J Sullivan MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Donald J Sullivan MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Donald J Sullivan MD. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Physical Medicine and Rehabilitation (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Donald J Sullivan MD was last updated on March 21, 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.