ANNE LORRAINE SELF SULLIVAN MD
NPI 1114913555
Family Medicine in Memphis,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 21, 2005

Contact Information

1520 Union Ave
Memphis,
Post Code: 38174
Phone: (901) 276-2410
Fax: -

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Anne Lorraine Self Sullivan Md in Memphis - Family Medicine

Anne Lorraine Self Sullivan Md is a Family Medicine in Memphis, . Anne Lorraine Self Sullivan Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Anne Lorraine Self Sullivan Md is 1114913555. The last update date is 2021-12-09.

Anne Lorraine Self Sullivan Md's current location address is 1520 Union Ave, Memphis, . You can contact this provider via phone number (901) 276-2410 and fax number -. The mailing address for Anne Lorraine Self Sullivan Md is 1520 Union Ave, Memphis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114913555
Provider Name
ANNE LORRAINE SELF SULLIVAN MD
Gender
Female
Entity Type
Individual
Location Address
1520 Union Ave, Memphis,
Location Phone
(901) 276-2410
Location Fax
-
Mailing Address
965 Ridge Lake Blvd Ste 315, Memphis, Tennessee(TN)
Mailing Phone
Mailing Fax
901-227-8591
Enumeration Date
2005-09-21
Last Update Date
2021-12-09
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
MD47894
License State
Tennessee (TN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

29526 (Mississippi)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114913555
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241816510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241816510
2 + 1 + 2 + 4 + 1 + 8 + 1 + 6 + 5 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1114913555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114913498 ROBIN S PEARSON
Individual
Pediatrics 3601 THE VANDERBILT CLINIC
NASHVILLE, Tennessee (TN)
615-322-5000
1114913365 SUSAN WATTS JEANSONNE
Individual
Emergency Medicine 2002 BROOKSIDE DR
KINGSPORT, Tennessee (TN)
423-224-3933
1114913357 DEREK PRICE
Individual
Nurse Anesthetist, Certified Registered 110 29TH AVE N
NASHVILLE, Tennessee (TN)
1114912904 CRAIG PAUL MOORHOUSE
Individual
Specialist 220 ALFALFA LN
JONESBOROUGH, Tennessee (TN)
423-202-2355
1114912656 ROGER GRADY BURRUS
Individual
Specialist 323 STEAM PLANT RD
GALLATIN, Tennessee (TN)
615-452-1060