NPIMap

Individual provider Active NPI

Billy Lee Sullivan II, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1548720493
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2024-00808 Issued in NC
Practice address
2001 Randolph Rd
Charlotte, NC 28207-1215
Phone
(704) 323-2225
Fax
(704) 323-3985
NPI assigned
Mar 25, 2019
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X T-3837 MS
Orthopaedic Surgery Physician 207X00000X 2024-00808 NC Primary

Addresses

Primary practice location

2001 Randolph Rd
Charlotte, NC 28207-1215

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2248

Other practice location 1

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone (662) 767-4200

Other practice location 2

100 Baptist Memorial Cir Ste 330
Oxford, MS 38655-4476
Phone (662) 767-4200 ext. 1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240821000615 NC Practitioner - Orthopedic Surgery 6305177114 Reassigns benefits to 1 organization
I20250722003793 MS Practitioner - Orthopedic Surgery 6305177114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion68
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-3837MSMDOrthopaedic Surgery Physician
2024-00808NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Aug 15, 2025 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 23, 2024 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 23, 2024 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Aug 15, 2025 Accepting new patients

Locations

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

2001 Randolph Rd
Charlotte, NC 28207
Phone (704) 323-2225

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

Interoperability endpoints

  • Direct secure messaging: billysullivan@nmhs.medalliesdirect.net
  • Direct secure messaging: bsullivan2908587@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1548720493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071215",
            "telephone_number": "704-323-2225",
            "fax_number": "704-323-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baptist Memorial Cir Ste 330",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-767-4200 x1057",
            "fax_number": "662-767-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BILLY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "T-3837",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2024-00808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.