Jerry Sullivan, PA - Medicare Physician Assistant in Tifton, GA

Jerry Sullivan, PA is a medicare enrolled "Physician Assistant - Medical" in Tifton, Georgia. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tift Regional Health System Inc and his current practice location is 2225 Us Highway 41 N, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 391-4100.

Jerry Sullivan is licensed to practice in Georgia (license number 004285) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629062724.

Contact Information

Jerry Sullivan, PA
2225 Us Highway 41 N,
Tifton, GA 31794-2749
(229) 391-4100
Not Available

Map and Direction




Provider's Profile

Full NameJerry Sullivan
GenderMale
SpecialityPhysician Assistant
Experience20 Years
Location2225 Us Highway 41 N, Tifton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry Sullivan graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1629062724
  • Provider Enumeration Date: 09/02/2005
  • Last Update Date: 04/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749269314
  • Enrollment ID: I20040716000648

Medical Identifiers

Medical identifiers for Jerry Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629062724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 004285 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tift Regional Medical CenterTifton, GAHospital
Cook Medical Center A Campus Of Tift Reg Med CtrAdel, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tift Regional Health System Inc2062745169278

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Sullivan, PA
907 18th St E Ste 400,
Tifton, GA 31794-3684

Ph: (229) 391-4100
Jerry Sullivan, PA
2225 Us Highway 41 N,
Tifton, GA 31794-2749

Ph: (229) 391-4100

Reviews and Comments


Physician Assistant Nurses in Tifton, GA

Kathryn H. Perri, P.A.-C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794
Phone: 229-391-4100    
Thomas L Shoup, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-6051    
Miss Shaina Linell Mcgordon, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
Mr. Robert Jay Muterspaugh, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 802 18th St E, Tifton, GA 31794
Phone: 229-386-9333    Fax: 229-386-1666
Bradley T Holt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1641 Madison Ave, Tifton, GA 31794
Phone: 229-353-2284    
Mrs. Deanna Setters Sanders, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1824 Lee Ave, Tifton, GA 31794
Phone: 229-556-6320    Fax: 229-353-6343
Michael Perri, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794
Phone: 229-391-4100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.