Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrington Sullivan

Individual provider Family Nurse Practitioner · NPI 1164155297

Carrington Sullivan is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Central Surgical Associates PLLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone: (601) 944-1781
Fax: (601) 353-0439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 434 Katherine Dr, Flowood, MS 39232-8810 — (769) 243-6141

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905405 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 905405 (MS)

Record details

NPI number1164155297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Central Surgical Associates Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson