Corinna Sullivan, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A77304 Issued in CA

Practice address

1200 N Elm St
Greensboro, NC 27401-1004

Phone

(336) 274-6515

Fax

(336) 832-8717

NPI assigned

Sep 26, 2006

Last updated

Aug 15, 2022By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC, CA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csullivan20092@smch.direct-ci.com

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.

• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127
  Medicare reassignment NPD
• California Emergency Physicians Medical Group, a Professional Corp

  dba Vituity

  • Emergency Medicine Physician
  • Truckee, CA
  • NPI 1215365218
  Medicare reassignment NPD
• County of San Mateo

  dba San Mateo Medical Center

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580
  Medicare reassignment NPD
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837
  Medicare reassignment NPD
• Moses Cone Physician Services Inc

  dba Triad Hospitalists

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• California Emergency Physicians Medical Group a Professional Corp

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Terre Haute, IN
  • NPI 1255292496
  NPD
• California Emergency Physicians Medical Group, a Professional Corp.

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1457945909
  NPD
• County of San Mateo

  dba Shasta

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD
• John Muir Trauma Physicians Billing Service

  • Trauma Surgery Physician
  • Walnut Creek, CA
  • NPI 1962551861
  NPD
• Eagle Physicians and Associates PA

  dba Eagle Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1396852570
  NPD (past)
• Eagle Physicians and Associates PA

  • Sleep Medicine (Internal Medicine) Physician
  • Greensboro, NC
  • NPI 1609070648
  NPD (past)
• Chesapeake Hospitalists, PC

  • Emergency Medicine Physician
  • Chesapeake, VA
  • NPI 1932206125
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1962503672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-274-6515",
            "fax_number": "336-275-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-274-6515",
            "fax_number": "336-832-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CORINNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2004-00756",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A77304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137FF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "137FF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "804918",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D7587",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Successful Visions LLC
• Successworks 264 LLC
• Harry Suggs Jr., LCAS
• Asmaa Suleiman
• Benjamin Jacob Sullivan, PA-C
• David R Sullivan, DDS
• Jakara Tanae Sullivan
• Katherine Anne Sullivan
• Laura Sullivan, LCMHCA
• Lonnie Thomas Sullivan II

• Hospitalist Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Hospitalist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.