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DR. JIMMY BRIAN SULLIVAN DC
NPI 1619368941
Chiropractor in Tyler, TX

Active since February 09, 2015Accepts Medicare Assignment
1540 RICE RD STE 400, TYLER, TX 75703(903) 597-9021 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Jul 21, 2022, Jul 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jimmy Brian Sullivan Dc NPPES

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

DR. JIMMY BRIAN SULLIVAN DC (NPI 1619368941) is an individual chiropractor in Tyler, Texas, licensed in Texas (12808) and active in the NPI registry since February 2015. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1619368941
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JIMMY BRIAN SULLIVANCredential: DC
Location Address1540 RICE RD STE 400Tyler, TX 75703-3223
Mailing Address1540 Rice Rd Ste 400Tyler, TX 75703-3223 · (903) 597-9021 · Fax (903) 597-0840
Phone(903) 597-9021
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 9, 2015
Last NPPES UpdateJanuary 17, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1619368941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 12808
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.
1540 RICE RD STE 400, Tyler, TX 75703
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Other Identifiers 1

Other583300AC3ZTX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jimmy Brian 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 ID3971873118
PECOS Enrollment IDI20170721000719

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.
398 services44 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.

FOUR-TEN ENTERPRISE, LLC
Chiropractor
1540 RICE RD STE 400
TYLER, TX 75703
Smith County (903) 597-9021

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 Jimmy Sullivan's NPI number?

The NPI number for Jimmy Sullivan is 1619368941. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Jimmy Sullivan located?

Jimmy Sullivan practices at 1540 Rice Rd Ste 400, Tyler, TX 75703. The listed phone number is (903) 597-9021.

What is Jimmy Sullivan's specialty?

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

Is Jimmy Sullivan enrolled in Medicare?

Yes. Jimmy 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.

What insurance does Jimmy Sullivan accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Providence Health Plan and UnitedHealthcare list Jimmy 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 Jimmy Sullivan was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.