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

Jerry J. Sullivan, MD

Individual provider Family Medicine Physician · NPI 1306998406

Jerry J. Sullivan, MD is a Family Medicine Physician in Springfield, Virginia. Licensed in District of Columbia, Maryland, Virginia and Washington. Registered with an NPI since 2007.

Licensed in
DC, MD, VA, WA
In the registry since
2007
Specialties on file
4
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

6501 Loisdale Ct
Springfield, VA 22150-1826
Phone: (703) 922-1000
Fax: (703) 922-1039
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101243402 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00017070 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0071387 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD039385 (DC)

Record details

NPI number1306998406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESNovember 22, 2011
Mailing address2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908

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