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

Dr. Manly Jackson Sullivan, MEDICALDOCTOR

Individual provider Emergency Medicine Physician · NPI 1003804352

Dr. Manly Jackson Sullivan, MEDICALDOCTOR is an Emergency Medicine in Carrollton, Alabama. Graduated from University of Alabama School of Medicine in 1995, 31 years ago. Practices with Nwmc Emergency Physicians LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
31
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2005

Practice location Address checks out

241 Robert K Wilson Dr
Carrollton, AL 35447-8010
Phone: (205) 367-2408
Fax: (205) 367-9123
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20081 (AL)

Record details

NPI number1003804352
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALDOCTOR
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Nwmc Emergency Physicians Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carrollton