ADRIENNE CLAIRE SULLIVAN
NPI 1871345090
Physician Assistant - Surgical in Memphis, TN

NPI Status: Active since April 02, 2024

Contact Information

6286 BRIARCREST AVE STE 200
MEMPHIS, TN
ZIP 38120
Phone: (901) 259-1600
Fax: (901) 259-1698

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  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ADRIENNE SULLIVAN

This page provides the complete NPI Profile along with additional information for Adrienne Sullivan, a provider established in Memphis, Tennessee with a medical specialization in Physician Assistant, focusing in surgical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1871345090 assigned on April 2024. The practitioner's primary taxonomy code is 363AS0400X with license number 6833 (TN). The provider is registered as an individual and her NPI record was last updated January 2026.

NPI
1871345090
Provider Name
ADRIENNE CLAIRE SULLIVAN
Gender
Female
Entity Type
Individual
Location Address
6286 BRIARCREST AVE STE 200 MEMPHIS, TN 38120
Location Phone
(901) 259-1600
Location Fax
(901) 259-1698
Mailing Address
6077 PRIMACY PKWY STE 140 MEMPHIS, TN 38119
Mailing Phone
(901) 725-8347
Mailing Fax
(901) 259-1698
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
04-02-2024
Last Update Date
01-05-2026
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Location Map

Secondary Locations

  • 2670 McIngvale Rd Ste J
    Hernando, MS 38632
    (901) 641-3000
  • 7580 Clarington Cv
    Southaven, MS 38671
    (901) 259-1600
  • 2100 Exeter Rd Ste 200
    Germantown, TN 38138
    (901) 641-3000

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.
6833
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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

6833 (TN)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

968 (MS)
3363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

968 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q108773MEDICAID (05)TN 

Medicare Participation & PECOS Enrollment Status

Adrienne Sullivan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Adrienne 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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860986221

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251212000686

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ADRIENNE CLAIRE SULLIVAN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871345090, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 6 + 4 + 1 + 0 + 0 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1871345090.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapy Assistant
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Foot and Ankle Surgery)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Occupational Therapist (Hand)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Adult Health)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Occupational Therapist
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Hand Surgery)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Physical Therapy Assistant
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Physician Assistant (Surgical)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Physician Assistant (Surgical)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Physical Medicine & Rehabilitation (Pain Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Neurological Surgery
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871345090, enumerated as an "individual" on April 02, 2024.

The provider is located at 6286 BRIARCREST AVE STE 200 MEMPHIS, TN 38120 and the phone number is (901) 259-1600.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.