Sally Sullivan, CRNA
Certified Registered Nurse Anesthetist · Jackson, MS
Sally Sullivan, CRNA is a certified registered nurse anesthetist with a practice address in Jackson, Mississippi, and NPI 1609223205, issued on May 24, 2016. Check the license (Mississippi R892793, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sally Sullivan
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- R892793 MS
Self-reported in NPPES; status is on the state search - Practice location
- 971 Lakeland Dr, Jackson, MS 39216
- Phone
- (334) 279-1450
- Enumerated
- May 24, 2016
- Record last updated
- May 24, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (334) 395-4110
- Medicare enrollment
- Enrolled (PECOS I20160827000203); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 840 in Mississippi → Look up another NPI →
Also registered at 971 Lakeland Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Charles Arnold, CRNACertified Registered Nurse Anesthetist1881637692
- Sharon Barnhill-SilvermanCritical Care Neonatal Nurse Practitioner1922303031
- John Barrett, MDOrthopaedic Surgery of the Spine Physician1215145834
- David Bartley, CRNACertified Registered Nurse Anesthetist1255516126
- Theresa Beard, RNFASurgical Physician Assistant1629307970
Verify Sally Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license R892793Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $385.67
22 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Gac Anesthesia LLCColumbus, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sally Sullivan among 840 certified registered nurse anesthetist records in Mississippi
Sally Sullivan, CRNA is one of 840 certified registered nurse anesthetist records with a practice address in Mississippi. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 71% of them.
- NPI issued2016 · 71% of these records are older, 27% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2016 · median 2011 among the 669 with a school on file
- Record last updated2016 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
174 certified registered nurse anesthetist records list a practice address in Jackson
They are 174 of the 6,997 NPPES records with a practice address in Jackson, and 840 certified registered nurse anesthetist records in Mississippi.
All 840 in Mississippi → Every provider in Jackson → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Charles Arnold, CRNAJackson, MS 392161881637692
- James Burnham, CRNAJackson, MS 392161881644367
- Penny Chiasson, CRNAJackson, MS 392161780622696
- Robin Ellis, CRNAJackson, MS 392161508896770
- Stephen Hornaday, CRNAJackson, MS 392161821039652
- Mary Johnson, CRNAJackson, MS 392161629050836
- Ransom Jones, CRNAJackson, MS 392161194762740
- Ben Jones, CRNAJackson, MS 392161235173188
Common questions
What is Sally Sullivan, CRNA's NPI number?
Sally Sullivan, CRNA's National Provider Identifier (NPI) is 1609223205, issued on May 24, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Sally Sullivan, CRNA located?
The NPPES record lists a practice address at 971 Lakeland Dr, Jackson, MS, 39216. Phone: (334) 279-1450. Providers update this record themselves, so call before visiting.
How can I verify Sally Sullivan, CRNA's license?
NPPES lists Mississippi license number R892793, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.