Kimberly Sullivan, MD
NPI 1114453594 · Maternal & Fetal Medicine Physician · Jackson, MS
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Sullivan, MD is a Maternal & Fetal Medicine Physician provider in Jackson, MS (NPI 1114453594).
Provider details
- NPI number
- 1114453594
- Entity type
- Individual
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2024-02098 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
9 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$71 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1806 S Hawthorne Rd Ste 200Winston Salem, NC 27103-4014Phone: (336) 718-3170Fax: (336) 718-9266
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Frequently asked questions
- What is Kimberly Sullivan's NPI number?
- Kimberly Sullivan's National Provider Identifier (NPI) is 1114453594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Sullivan's specialty?
- Kimberly Sullivan is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberly Sullivan located?
- Kimberly Sullivan's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Kimberly Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Sullivan is (601) 984-5338.
- Does Kimberly Sullivan accept Medicare?
- Kimberly Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Sullivan's NPI active?
- Yes — Kimberly Sullivan's NPI (1114453594) is active in the NPPES registry as of the last update on 2024-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.