Sullivan Chiropractic Clinic
NPI 1104808385 · Chiropractor · Roxboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sullivan Chiropractic Clinic is a Chiropractor organization in Roxboro, NC (NPI 1104808385).
Provider details
- NPI number
- 1104808385
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Gary Sullivan, Gen Partner(336) 599-6771
- License
- 1757 (NC)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Gary J Sullivan DC
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2007-08-29
Frequently asked questions
- What is Sullivan Chiropractic Clinic's NPI number?
- Sullivan Chiropractic Clinic's National Provider Identifier (NPI) is 1104808385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sullivan Chiropractic Clinic?
- Sullivan Chiropractic Clinic is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Sullivan Chiropractic Clinic located?
- Sullivan Chiropractic Clinic's practice location on file with NPPES is 30 Semora Rd, Roxboro, NC 27573-6201.
- What is Sullivan Chiropractic Clinic's phone number?
- The practice phone number listed in the NPPES registry for Sullivan Chiropractic Clinic is (336) 599-6771.
- Does Sullivan Chiropractic Clinic accept Medicare?
- Sullivan Chiropractic Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sullivan Chiropractic Clinic?
- The authorized official listed on Sullivan Chiropractic Clinic's NPPES record is Gary Sullivan, Gen Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sullivan Chiropractic Clinic's NPI active?
- Yes — Sullivan Chiropractic Clinic's NPI (1104808385) is active in the NPPES registry as of the last update on 2007-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.