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

Sabra Sullivan, MD, PHD

Individual provider Procedural Dermatology Physician · NPI 1932176641

Sabra Sullivan, MD, PHD is a Dermatology in Madison, Mississippi. Graduated from University of Texas Southwestern Medical School at Dallas in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
38
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

100 Mannsdale Park Dr Ste 1
Madison, MS 39110-6381
Phone: (601) 910-3004
Fax: (601) 910-3005
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 14238 (MS)

Record details

NPI number1932176641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedMarch 1, 2006
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address815 Highway 80 E, Clinton, MS 39056-5252

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare