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

Individual provider Certified Registered Nurse Anesthetist · NPI 1134752371

Mark Sullivan is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2019, 7 years ago. Practices with Sweet Dreams Anesthesia PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901618 (MS)

Record details

NPI number1134752371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing address147 Belle Pointe, Madison, MS 39110-8287

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sweet Dreams Anesthesia Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson