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

Dr. John Magruder Sullivan III, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1043872948

Dr. John Magruder Sullivan III, MD is a Plastic and Reconstructive Surgery in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2025, 1 year ago. Practices with Plastic Surgery Center of Hattiesburg, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2019
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence T-3879 (MS)

Record details

NPI number1043872948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 1, 2019

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Plastic Surgery Center Of Hattiesburg, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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