Active NPI
James Sullivan, CRNA
- Certified Registered Nurse Anesthetist
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901358
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 867-5000
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R882067 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 901358 | MS | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
4500 13TH St
Gulfport, MS 39501-2515
Other practice location 1
301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA, AL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 284-2389
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-4000
Hospital & facility affiliations
- Memorial Hospital at Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R882067 | MS | MD | Critical Care Medicine Registered Nurse |
| 901358 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Best Anesthesia, PLLC | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Lafayette Health Ventures Inc. | Current | Accepting new patients | |
| Etas, PLLC | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients |
Locations
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1016 Coolidge Blvd
#B
Lafayette, LA 70503
Phone (337) 571-1396
1720B Medical Park Dr
Biloxi, MS 39532
Phone (228) 396-9161
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
1926 23rd Ave
Meridian, MS 39301
Phone (601) 485-1131
3882 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6290
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Interoperability endpoints
- jsullivan@direct.mhg.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Biloxi, MS
- NPI 1679286108
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1679259360
-
- Anesthesiology Physician
- Gulfport, MS
- NPI 1780312504
-
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1740918937
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
MS, Nurse Anesthetist, Certified Registered
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Hospitalist Physician
- Gulfport, MS
- NPI 1700213279
Hospital & facility affiliations 60
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1437523958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-867-5000"
}
],
"practiceLocations": [
{
"address_1": "301 Fisher St",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395342508",
"country_code": "US",
"telephone_number": "228-376-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MS",
"license": "R882067",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.