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

Carrington Sullivan

Individual provider Family Nurse Practitioner · NPI 1164155297

Carrington Sullivan is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Central Surgical Associates PLLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone: (601) 944-1781
Fax: (601) 353-0439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 434 Katherine Dr, Flowood, MS 39232-8810 — (769) 243-6141

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905405 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 905405 (MS)

Record details

NPI number1164155297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address1190 N State St Ste 502, Jackson, MS 39202-2414

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Central Surgical Associates Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson