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

Lacey Sullivan, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1962707745

Lacey Sullivan, MD is a Pathology in Pascagoula, Mississippi. Graduated from Tulane University School of Medicine in 2010, 16 years ago. Practices with Urology Associates of Mobile, PA, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Trained at
Tulane University School of Medicine
Licensed in
AL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2809 Denny Ave
Pascagoula, MS 39581
Phone: (228) 818-6063
Fax: (228) 809-2254
Show map & directions

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

Additional practice locations (1)

  • 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 — (228) 818-4056

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD.35922 (AL)

Record details

NPI number1962707745
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJune 3, 2019
Mailing address5052 W 4th St Ste 7, Hattiesburg, MS 39402-1069

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Urology Associates Of Mobile, P.A. — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare