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JALON SULLIVANT NP
NPI 1871475384
Nurse Practitioner in Andalusia, AL

Active since July 24, 2025PECOS Enrolled
135 MEDICAL PARK DR STE 1A, ANDALUSIA, AL 36420(334) 843-8515 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jalon Sullivant Np NPPES

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

JALON SULLIVANT NP (NPI 1871475384) is an individual nurse practitioner in Andalusia, Alabama, licensed in Alabama (1-186617) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871475384
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJALON SULLIVANTCredential: NP
Location Address135 MEDICAL PARK DR STE 1AAndalusia, AL 36420-5353
Mailing Address135 Medical Park Dr Ste 1aAndalusia, AL 36420-5353 · (334) 843-8515
Phone(334) 843-8515
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 24, 2025
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1871475384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-186617
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
135 MEDICAL PARK DR STE 1A, Andalusia, AL 36420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jalon Sullivant Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799289658
PECOS Enrollment IDI20260518003555
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.

Medicare Billing Reassignment

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

Pinnacle Health
Same address
Internal Medicine
135 MEDICAL PARK DR STE 1A
Andalusia, AL 36420
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1790540961 (334) 843-8515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36420 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 2

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

DAVID M. MCCALMAN II, M.D., P.C.
Family Medicine
135 MEDICAL PARK DR STE 1A
ANDALUSIA, AL 36420
Covington County (334) 222-2418
PINNACLE HEALTH
Internal Medicine
135 MEDICAL PARK DR STE 1A
ANDALUSIA, AL 36420
Covington County (334) 843-8515

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 Jalon Sullivant's NPI number?

The NPI number for Jalon Sullivant is 1871475384. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Jalon Sullivant located?

Jalon Sullivant practices at 135 Medical Park Dr Ste 1A, Andalusia, AL 36420. The listed phone number is (334) 843-8515.

What is Jalon Sullivant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jalon Sullivant enrolled in Medicare?

Yes. Jalon Sullivant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jalon Sullivant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jalon Sullivant reassigns Medicare benefits to Pinnacle Health (Andalusia, AL). 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 Jalon Sullivant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jalon Sullivant was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.