Individual provider

Jerry Sullivan, CFNP

Family Nurse Practitioner Medicare enrolled

Jerry Sullivan, CFNP is a Family Nurse Practitioner in Woodland, MS, registered under NPI 1457409807. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 120 MARKET STREET, Woodland, MS 39776. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

120 MARKET STREET, Woodland, MS 39776 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
R739537 MS Family Nurse Practitioner primary

This provider holds licence R739537 issued in MS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
9335336874

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1457409807 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 8, 2007
Last updatedFeb 17, 2011
StatusActive
Sole proprietorYes
CredentialCFNP
Practice address 120 MARKET STREET
Woodland, MS 39776
(662) 456-0111
Fax (662) 456-7335
Mailing address P. O. BOX 186 120 MARKET STREET
Woodland, MS 39776
Other identifiers 0114346 (MS)
This record was last updated on Feb 17, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1457409807 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 5 7 4 0 9 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 1 7 8 0 9 8 0

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1457409807?
NPI 1457409807 is the National Provider Identifier assigned to Jerry Sullivan, CFNP in Woodland, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Jerry Sullivan, CFNP?
The phone number on file with NPPES is (662) 456-0111, last updated Feb 17, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jerry Sullivan, CFNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1457409807 a valid number?
Yes. 1457409807 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.