Jalon Sullivant, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-186617 Issued in AL

Practice address

135 Medical Park Dr Ste 1a
Andalusia, AL 36420-5353

Phone

(334) 843-8515

NPI assigned

Jul 24, 2025

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Internal Medicine

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pinnacle Health

  • Internal Medicine Physician
  • Andalusia, AL
  • NPI 1790540961
  Medicare reassignment NPD

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1871475384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MEDICAL PARK DR STE 1A",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205353",
            "telephone_number": "334-843-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MEDICAL PARK DR STE 1A",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205353",
            "telephone_number": "334-843-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVANT",
        "first_name": "JALON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-186617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama Department of Public Health (Covington County Home Care)
• State of Alabama Department of Public Health (Covington County Health Dept Flu-Pneu)
• Kelly H Stinson, PHARMD
• Strickland Spine LLC
• Larry Chase Strickland, D.C.
• Elizabeth Taylor, RBT
• Therapy South Andalusia LLC
• John Mollison Thomas, ATC/L
• Kelsey Thomas
• Mavis B Thomas, LPC

• Nurse Practitioner in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.