Jason Murray Sullivan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0031354 Issued in TN

Practice address

668 Skyline Dr
Jackson, TN 38301-3951

Phone

(731) 424-2414

Fax

(731) 424-4444

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Tennessee, HSC, College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyline Eye Clinic, PCGroup PAC ID 0042253882, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score

92.16 of 100Reported as group

Quality

97.83

Improvement activities

40

Cost

76.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4
• Direct secure messaging: jsullivan@ecpc.intellechartdirect.net

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.

• Skyline Eye Clinic, PC

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1154328813
  Medicare reassignment Care Compare group NPD
• Advanced Cardiovascular & Vein Center

  • Specialist
  • Jackson, TN
  • NPI 1164759189
  NPD (past)
• Total Eye Care P a

  • Optometrist
  • Memphis, TN
  • NPI 1851423669

  Ophthalmology

  NPD (past)
• Total Eye Care PA

  • Eyewear Supplier
  • Memphis, TN
  • NPI 1457362881
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1528047586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013951",
            "telephone_number": "731-424-2414",
            "fax_number": "731-424-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013951",
            "telephone_number": "731-424-2414",
            "fax_number": "731-424-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JASON",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0031354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3838587",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Kneeland Studebaker, MD
• Karl E Studtmann, M.D.
• Kirkland Sturgis, FNP-C
• Sheila Stutts, CLINICIAN
• Jessica Marie Suiter, PMHNP
• Nicholas Dylan Summar, CASE MANAGER
• Adam Lee Summerlin, M.D.
• Jana Summers, LMSW
• Savannah Sumner
• Sunshine Medical Care Inc

• Ophthalmology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.