Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne Lorraine Self Sullivan, MD

Individual provider Family Medicine Physician · NPI 1114913555

Anne Lorraine Self Sullivan, MD is a Family Practice in Memphis, Tennessee. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1986, 40 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
40
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MS, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 Union Ave
Memphis, TN 38174-0275
Phone: (901) 276-2410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7736 Airways Blvd, Southaven, MS 38671-5306 — (662) 772-5222

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD47894 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 29526 (MS)

Record details

NPI number1114913555
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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