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

Michael Daris Sullivan, NP

Individual provider Family Nurse Practitioner · NPI 1679935514

Michael Daris Sullivan, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2015, 11 years ago. Practices with Carolina Neurosurgery and Spine Associates PA, a 104-clinician group and works from 2 locations. Licensed in North Carolina and South Carolina.

Years since qualifying
11
Licensed in
NC, SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone: (704) 376-1605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Richland Medical Park Dr, Columbia, SC 29203-6849 — (803) 434-8323

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5017901 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 20059 (SC)

Record details

NPI number1679935514
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 21, 2016
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Carolina Neurosurgery And Spine Associates Pa — 104 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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