Doctor profile · Federal record
Dr. Sonny Sullivan, PA-C
Physician Assistant · Surgical Physician Assistant · Clinton Twp, MI
- NPI 1215610779
- Accepts Medicare
- 3 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
15855 19 Mile RD
Clinton Twp, MI 480383504
(800) 532-2411 - Additional location
-
1970 Ashland Dr
Mt Pleasant, MI 488581203
(989) 854-2266 - Additional location
-
400 Hobart St
Cadillac, MI 496012331
(231) 876-7200 - Mailing address
-
5838 S Mission RD
Mt Pleasant, MI 488585531
Credentials & registration
- NPI registered
- August 2023 — 3 yrs on file
- Profile last updated
- April 14, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601011968
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215610779. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$608
Transactions
7
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 4 | $560.92 | |
| Ironshore Pharmaceuticals INC. | 1 | $17.43 | |
| Pfizer INC. | 1 | $16.55 | |
| Lightbody Medical Technologies INC | 1 | $13.18 |
By nature of payment
Frequently asked questions
What is Dr. Sonny Sullivan's medical specialty?
Dr. Sonny Sullivan practices Physician Assistant in Clinton Twp, MI.
Where does Dr. Sonny Sullivan practice?
Dr. Sonny Sullivan practices at 15855 19 Mile RD, Clinton Twp, MI 480383504. Office phone: 8005322411.
What is Dr. Sonny Sullivan's NPI?
Dr. Sonny Sullivan's National Provider Identifier (NPI) is 1215610779, issued by NPPES.
Does Dr. Sonny Sullivan accept Medicare assignment?
Yes. Dr. Sonny Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.