DR. MICHAEL DOUGLAS SULLIVAN DC
NPI 1194711804
Chiropractor in Charlotte, NC

Active since September 27, 2005Accepts Medicare Assignment
2315 W ARBORS DR STE 208A, CHARLOTTE, NC 28262(704) 547-1800(704) 547-1611 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 29, 2021, Oct 3, 2019 (2 updates tracked since 2019).

About Dr. Michael Douglas Sullivan Dc NPPES

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

DR. MICHAEL DOUGLAS SULLIVAN DC (NPI 1194711804) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (2832) and active in the NPI registry since September 2005. He is a graduate of Life Chiropractic College (2002).

NPPES Registry Identity

NPI1194711804
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL DOUGLAS SULLIVANCredential: DC
Location Address2315 W ARBORS DR STE 208ACharlotte, NC 28262-2577
Mailing Address2315 W Arbors Dr Ste 208aCharlotte, NC 28262-2577 · (704) 547-1800 · Fax (704) 547-1611
Fax(704) 547-1611
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2002
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1194711804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 2832
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2315 W ARBORS DR STE 208A, Charlotte, NC 28262

Other Identifiers 7

Other618994NC · Acn
Other0194LNC · Cnc/bcbs-group
Medicaid890844XNC
Other0844XNC · Bcbs
Other7998160NC · Aetna-individual
Other3002130NC · Aetna Hmo-sullivan Family
Other7386420NC · Aetna-sullivan Family Chi

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

Dr. Michael Douglas Sullivan Dc 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 ID6709910722
PECOS Enrollment IDI20100812000931

Medicare Billing Reassignment

Medicare enrollment records show Michael Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
2315 W ARBORS DR STE 208A
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Sullivan Family Chiropractic PA

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
440 services39 patients

Other Providers at the Same Location NPPES

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

Chiropractor
2315 W ARBORS DR STE 208A
CHARLOTTE, NC 28262

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1194711804. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Michael Sullivan located?

Michael Sullivan practices at 2315 W Arbors Dr Ste 208A, Charlotte, NC 28262. The listed phone number is (704) 547-1800.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Michael Sullivan enrolled in Medicare?

Yes. Michael 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 organization bills Medicare for Michael Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sullivan reassigns Medicare benefits to Sullivan Family Chiropractic, P.A. (Charlotte, NC). The 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 Michael Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sullivan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Michael 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 Michael Sullivan was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.