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DR. HURSIE J DAVIS-SULLIVAN M.D. NPI 1912104159


NPI Information

NPI: 1912104159
Provider Name: DR. HURSIE J DAVIS-SULLIVAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1814 HOSPITAL DR
JACKSON, MS
ZIP 39204
Phone: (601) 373-2940
Get Directions

DR. Hursie J Davis-sullivan, M.D. is a family medicine in Jackson, MS with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Hursie J Davis-sullivan, M.D. NPI is 1912104159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1814 HOSPITAL DR
JACKSON, MS
ZIP 39204-410
Phone: (601) 373-2940
Fax: (601) 373-2720

The NPI 1912104159 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/29/2007 and was last updated on 7/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine13888MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1640918786OTHERMISSISSIPPIEIN
2CG6643OTHERMISSISSIPPIRR MEDICARE HFCA 33
3F65463MEDICARE UPINMISSISSIPPI
4080153132OTHERMISSISSIPPIRR MEDICARE HFCA 31
508236531MEDICAIDMISSISSIPPI
6080003184MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIHCFA 31
700112110MEDICAIDMISSISSIPPI
8C02914MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIHCFA 33

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.