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

Lorie Sullivan

Individual provider Family Nurse Practitioner · NPI 1518771161

Lorie Sullivan is a Nurse Practitioner in Newton, Mississippi. Qualified in 2024, 2 years ago. Practices with Independent Healthcare Management Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025

Practice location Address checks out

9427 Eastside Drive Ext # A
Newton, MS 39345-8063
Phone: (601) 683-0330
Fax: (601) 635-3746
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907055 (MS)

Record details

NPI number1518771161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2025
Last updated in NPPESDecember 28, 2025
Certification dateDecember 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Independent Healthcare Management Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Newton