BONNIE SULLIVAN
NPI 1255182358
Internal Medicine in Greenville, SC

Q: What is Bonnie Sullivan's NPI number?

The NPI number for Bonnie Sullivan is 1255182358. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Bonnie Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Sullivan was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2024PECOS Enrolled

876 W FARIS RD, GREENVILLE, SC 29605(864) 455-5648 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bonnie Sullivan NPPES

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

BONNIE SULLIVAN (NPI 1255182358) is an individual internal medicine provider in Greenville, South Carolina, licensed in South Carolina (LL-92472) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255182358

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameBONNIE SULLIVAN

Location Address876 W FARIS RDGreenville, SC 29605-4253

Mailing Address876 W Faris RdGreenville, SC 29605-4253

Phone(864) 455-5648

Sole ProprietorYes

Enumeration DateMarch 28, 2024

Last NPPES UpdateJuly 19, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1255182358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · LL-92472

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License LL-92472 (SC)

876 W FARIS RD, Greenville, SC 29605

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 29605 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.