Stephanie Adele Sullivan, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

68384 Issued in TN

Practice address

330 23Rd Ave N Ste 600
Nashville, TN 37203-1661

Phone

(615) 340-4640

Fax

(615) 341-0988

NPI assigned

Apr 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tristar Gynecology Oncology, LLCGroup PAC ID 1254585276, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
• Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.sullivan@hca1.eclinicaldirectplus.com

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.

• Tristar Gynecology Oncology, LLC

  • Gynecologic Oncology Physician
  • Nashville, TN
  • NPI 1003152208
  Medicare reassignment Care Compare group NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD
• Female Physicians of Tennessee, P.C.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Nashville, TN
  • NPI 1629598453
  NPD (past)

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

• Central Tennessee Hospital Corporation

  • General Acute Care Hospital
  • Dickson, TN
  • NPI 1871530832
  Care Compare affiliation
• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1902197288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031661",
            "telephone_number": "615-340-4640",
            "fax_number": "615-341-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031661",
            "telephone_number": "615-340-4640",
            "fax_number": "615-341-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "STEPHANIE",
        "middle_name": "ADELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "VA",
            "license": "0101264769",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "68384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Sullivan
• Ryan Alexander Sullivan, DO
• Sadie Sullivan
• Sarah Sullivan, DPT
• Shelentia Sullivan
• Tara Sullivan, APRN
• Taylor Micaela Sullivan
• Wendy Sullivan, BCBA
• William Joseph Sullivan, MD
• William Michael Sullivan, M.D., M.ED.

• Gynecologic Oncology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Gynecologic Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.