Doctor profile · Federal record
Dr. Ann Sullivan, PA-C
Physician Assistant · Surgical Physician Assistant · Surgical Physician Assistant · Physician Assistant · Medical Physician Assistant · Jacksonville, FL
- NPI 1073609707
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 16 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1301 Palm Ave
Jacksonville, FL 322078432
(904) 202-7300
fax (904) 202-2754 - Mailing address
-
Po Box 746654
Atlanta, GA 303746654
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- July 8, 2025
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Florida #PA9113026 · Colorado #PA3713 · Texas #PA03286
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073609707. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$307
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol INC. | 1 | $143.93 | |
| Zimmer Biomet Holdings, INC. | 1 | $137.18 | |
| Ethicon US, LLC | 1 | $25.60 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Ann Sullivan's medical specialty?
Dr. Ann Sullivan practices Physician Assistant in Jacksonville, FL.
Where does Dr. Ann Sullivan practice?
Dr. Ann Sullivan practices at 1301 Palm Ave, Jacksonville, FL 322078432. Office phone: 9042027300.
What is Dr. Ann Sullivan's NPI?
Dr. Ann Sullivan's National Provider Identifier (NPI) is 1073609707, issued by NPPES.
Does Dr. Ann Sullivan accept Medicare assignment?
Yes. Dr. Ann Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.