MR. BENJAMIN DEVLIN SULLIVAN PA-S
NPI 1699655498
Physician Assistant - Surgical in Nashville, TN

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since September 03, 2025PECOS Enrolled

1301 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
Surgical
PECOS Enrolled

About BENJAMIN SULLIVAN

This page provides the complete NPI Profile along with additional information for Benjamin Sullivan, a provider established in Nashville, Tennessee with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1699655498 assigned on September 2025. The practitioner's primary taxonomy code is 363AS0400X with license number 6991 (TN). The provider is registered as an individual and his NPI record was last updated February 2026.

NPI: 1699655498 Verify this NPI
Provider Name: MR. BENJAMIN DEVLIN SULLIVAN PA-S
Gender: Male
Entity Type: Individual
Location Address: 1301 MEDICAL CENTER DR NASHVILLE, TN 37232
Location Phone: (615) 322-5000
Mailing Address: 3841 GREEN HILLS VILLAGE DR STE 200 NASHVILLE, TN 37215
Is Sole Proprietor?: No
Enumeration Date: 09-03-2025
Last Update Date: 02-26-2026
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Location Map

Secondary Locations

400 Goodys Ln
Knoxville, TN 37922
(865) 251-1800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 6991
License State: TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program	(TN)

Medicare Participation & PECOS Enrollment Status

Benjamin Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.