Lauren B Sullivan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906275 Issued in MS

Practice address

230 Airline Rd
Columbus, MS 39702-6348

Phone

(662) 570-3208

NPI assigned

Sep 25, 2023

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of Columbus, PAGroup PAC ID 2860450699, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Gastroenterology Associates of Columbus, LLC

  • Specialist
  • Columbus, MS
  • NPI 1780753368
  Medicare reassignment Care Compare group NPD
• CH MSSP Services Ms LLC

  • Internal Medicine Physician
  • Flowood, MS
  • NPI 1194565051
  Medicare reassignment NPD
• Curana Health of Mississippi LLC

  • Family Nurse Practitioner
  • Flowood, MS
  • NPI 1013395615
  Medicare reassignment NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1902685530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DOVE WHITAKER RD",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "397409757",
            "telephone_number": "662-570-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AIRLINE RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397026348",
            "telephone_number": "662-570-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAUREN",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve B. Stratton, RN
• Tiffany Sturdivant
• Amy Danielle Styron, MS
• Sachin Subramani, MD
• William David Suclupe, LICSW
• Linda Gail Sumner
• Bradley F. Sumrall, PA-C
• Doyle F Sumrall, M.D.
• Minyoung Sung
• Surgery Clinic of Columbus PLLC

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.