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

Scott Sullivan, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1689100471

Scott Sullivan, MD is an Ophthalmology in Germantown, Tennessee. Qualified in 2017, 9 years ago. Practices with Charles Retina Institute PC, an 11-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1432 Kimbrough Rd
Germantown, TN 38138-2405
Phone: (901) 767-4499
Show map & directions

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

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 63308 (TN)

Record details

NPI number1689100471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address1432 Kimbrough Rd, Germantown, TN 38138-2405

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Charles Retina Institute Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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