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

Dr. Michael Jude Sullivan, MD

Individual provider Gastroenterology Physician · NPI 1326023078

Dr. Michael Jude Sullivan, MD is a Gastroenterology in Kingsport, Tennessee. Graduated from Icahn School of Medicine at Mount Sinai in 1979, 47 years ago. Practices with Sullivan and Ptrs, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
47
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
TN
In the registry since
2005
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

2204 Pavilion Dr Ste 108
Kingsport, TN 37660-4651
Phone: (423) 392-6100
Fax: (423) 392-0803
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 15419 (TN)

Record details

NPI number1326023078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1979 (47 years in practice)
Group practice Sullivan And Ptrs — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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