CARRINGTON SULLIVAN
NPI 1164155297
Nurse Practitioner in Jackson, MS
About Carrington Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRINGTON SULLIVAN (NPI 1164155297) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (905405) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains a secondary practice location in Flowood.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Carrington Sullivan 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
8Medicare enrollment records show Carrington Sullivan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 25 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 32 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 117 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 170 clinicians in this Medicare group
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 164 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Mississippi enrollment
- 96 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39202
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 Carrington Sullivan's NPI number?
The NPI number for Carrington Sullivan is 1164155297. It was assigned to this individual provider in the NPPES registry on July 6, 2022.
Where is Carrington Sullivan located?
Carrington Sullivan practices at 1190 N State St Ste 502, Jackson, MS 39202. The listed phone number is (601) 944-1781.
What is Carrington Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Carrington Sullivan enrolled in Medicare?
Yes. Carrington 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 Carrington Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrington Sullivan reassigns Medicare benefits to 8 organizations: Central Surgical Associates PLLC (Jackson, MS), Heal All Wound Care LLC (Flowood, MS), Mdb Care Management LLC (Flowood, MS), Wound Management Specialists, LLC (Flowood, MS), Minor Med Care, LLC (Jackson, MS) and 3 more organizations, listed in the Medicare section above. 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 Carrington Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrington 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 2 other insurers list Carrington 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 Carrington Sullivan affiliated with any hospitals?
According to CMS data, Carrington Sullivan is affiliated with Mississippi Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for Carrington Sullivan was last updated on August 15, 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.
# Carrington Sullivan · NPI 1164155297
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 6, 2022.
## Identity
- **NPI:** 1164155297 (Entity type: Individual)
- **Enumerated:** July 6, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 905405 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1190 N STATE ST STE 502, Jackson, MS 39202-2414
- **Phone:** (601) 944-1781 · **Fax:** (601) 353-0439
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Central Surgical Associates PLLC (NPI 1639295009, Jackson, MS); Heal All Wound Care LLC (NPI 1093554982, Flowood, MS); Mdb Care Management LLC (NPI 1144925272, Flowood, MS); Wound Management Specialists, LLC (NPI 1972150084, Flowood, MS); Minor Med Care, LLC (NPI 1407968738, Jackson, MS); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164155297) · Data from the CMS NPPES public registry.