Sonny Sullivan, PA-C
NPI 1215610779 · Physician Assistant · Clinton Twp, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonny Sullivan, PA-C is a Physician Assistant provider in Clinton Twp, MI (NPI 1215610779).
Provider details
- NPI number
- 1215610779
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5601011968 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 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.
$608 across 7 records (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 (2)
- 400 Hobart StCadillac, MI 49601-2331Phone: (231) 876-7200
- 1970 Ashland DrMt Pleasant, MI 48858-1203Phone: (989) 854-2266
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Frequently asked questions
- What is Sonny Sullivan's NPI number?
- Sonny Sullivan's National Provider Identifier (NPI) is 1215610779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonny Sullivan's specialty?
- Sonny Sullivan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sonny Sullivan located?
- Sonny Sullivan's practice location on file with NPPES is 15855 19 Mile Rd, Clinton Twp, MI 48038-3504.
- What is Sonny Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Sonny Sullivan is (800) 532-2411.
- Does Sonny Sullivan accept Medicare?
- Sonny Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonny Sullivan's NPI active?
- Yes — Sonny Sullivan's NPI (1215610779) is active in the NPPES registry as of the last update on 2025-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.