Jerry Sullivan, P.A.
NPI 1629062724 · Medical Physician Assistant · Tifton, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Sullivan, P.A. is a Medical Physician Assistant provider in Tifton, GA (NPI 1629062724).
Provider details
- NPI number
- 1629062724
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 004285 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
226 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $52 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 84 | $74 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 24 | $29 |
Typical Medicare-allowed amounts for these services range $29–$74 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 466 | 138 |
| Linaclotidebrand: Linzess | 373 | 140 |
| Lipase/Protease/Amylasebrand: Creon | 360 | 149 |
| Naloxegol Oxalatebrand: Movantik | 276 | 82 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 255 | 245 |
| Nortriptyline Hcl | 194 | 45 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$853 across 51 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
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Frequently asked questions
- What is Jerry Sullivan's NPI number?
- Jerry Sullivan's National Provider Identifier (NPI) is 1629062724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Sullivan's specialty?
- Jerry Sullivan is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jerry Sullivan located?
- Jerry Sullivan's practice location on file with NPPES is 2225 US Highway 41 N, Tifton, GA 31794-2749.
- What is Jerry Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jerry Sullivan is (229) 391-4100.
- Does Jerry Sullivan accept Medicare?
- Jerry Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Sullivan's NPI active?
- Yes — Jerry Sullivan's NPI (1629062724) is active in the NPPES registry as of the last update on 2021-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.