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

Dr. Kimberly Simmons Sullivan, MD

Individual provider Maternal & Fetal Medicine Physician · NPI 1114453594

Dr. Kimberly Simmons Sullivan, MD is an Obstetrics/Gynecology in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Monroe Health Services Inc, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and North Carolina.

Years since qualifying
9
Licensed in
MS, NC
In the registry since
2017
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5338
Fax: (601) 815-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1806 S Hawthorne Rd Ste 200, Winston Salem, NC 27103-4014 — (336) 718-3170

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence T-3432 (MS)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X · Licence 2024-02098 (NC)

Record details

NPI number1114453594
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Monroe Health Services Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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