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Active NPI 1043872948 Individual Practitioner Male Practitioner

Dr. John Magruder Sullivan , MD

Surgery - Plastic and Reconstructive Surgery • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Sullivan, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Jackson, MS. With approximately 1 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 2025, Dr. Sullivan delivers high-quality medical care to the local community at 2500 N STATE ST.

Dr. Sullivan maintains professional affiliations with Wesley Physician Services Llc, Plastic Surgery Center Of Hattiesburg, Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019841000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Jackson, MS

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -12.8 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Jackson, MS (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullivan (1 Years) 1 Yrs
Jackson Specialty Average (13.8 Years) 13.8 Yrs

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MS T-3879

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Plastic Surgery Center Of Hattiesburg, Pllc

40 Franklin Rd, Hattiesburg, MS 394021318

Phone: 6012963405

Wesley Physician Services Llc

5001 Hardy St, Hattiesburg, MS 394021308

Phone: 6012688155

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Emily Childress , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003146606

Certified Registered Nurse Anesthetist

Dr. Melanie Fox , MD

Emergency Medicine

NPI 1003225400

Doctor of Medicine (M.D.)

Dr. Leila Rezaian-Yazdi , MD

Student in an Organized Health Care Education/Training Program

NPI 1003510389

Doctor of Medicine (M.D.)

Dr. Craig Smardo , MD

Student in an Organized Health Care Education/Training Program

NPI 1003559113

Doctor of Medicine (M.D.)

Dr. Nayan Agarwal , MD

Radiology - Radiation Oncology

NPI 1003602319

Doctor of Medicine (M.D.)

Dr. Amarachukwu Diala , MD

Student in an Organized Health Care Education/Training Program

NPI 1003610551

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2019

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019841000)

📍
Updated Business Mailing Address July 01, 2019

Registered at 37 ENCLAVE CIR, RIDGELAND, MS 391574522 (Tel: 6019533304)

👤
Provider Name / Credentials Updated July 01, 2019

Recorded as JOHN SULLIVAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Surgery (License #T-3879 in MS)

🟢
Initial NPI Registration & Enumeration July 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043872948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2019
Last Update: July 01, 2019
Sole Proprietor: No

Mailing Address

37 Enclave Cir

Ridgeland, MS 391574522

Phone: 6019533304

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.