Individual provider Active NPI

Barbara D Sullivan, MD

  • Obstetrics & Gynecology Physician
  • Jackson, MS
National Provider Identifier
1912934126
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13522 Issued in MS
Practice address
501 Marshall St
Ste 400
Jackson, MS 39202-1687
Phone
(601) 354-0869
Fax
(601) 352-6521
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13522 MS Primary

Addresses

Primary practice location

501 Marshall St
Ste 400
Jackson, MS 39202-1687

Mailing address

501 Marshall St
Ste 400
Jackson, MS 39202-1687
Phone (601) 354-0869

Other identifiers 1

IdentifierTypeStateIssuer
0116508MedicaidMS

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000072 MS Practitioner - Obstetrics/Gynecology 5395934368

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Womans Clinic of Ms PLLCGroup PAC ID 7214003441, 11 clinicians

Practice addresses (Care Compare)

401 Baptist Dr
Suite 402
Madison, MS 39110-2009
Phone 60135408694011

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13522MSMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Womans Clinic of Ms PLLC Obstetrics & Gynecology CurrentSince Mar 28, 1996 Accepting new patients
Caroline a Reich MD PC PastSince May 24, 2026 Accepting new patients

Locations

501 Marshall St
Ste 400
Jackson, MS 39202
Phone (601) 354-0869

401 Baptist Dr
Ste 402
Madison, MS 39110
Phone (601) 354-0869

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1912934126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021687",
            "telephone_number": "601-354-0869",
            "fax_number": "601-352-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021687",
            "telephone_number": "601-354-0869",
            "fax_number": "601-352-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BARBARA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "13522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116508",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.