Manly Jackson Sullivan, MEDICAL DOCTOR
NPI 1003804352ActiveIndividual· Emergency Medicine· Carrollton, AL
Emergency Medicine (MEDICAL DOCTOR) in Carrollton, Alabama, trained at University of Alabama School of Medicine (class of 1995). 356 Medicare patients in 2024, $39,505 paid; nearly all of their 453 Part D prescriptions were generic (95%).
Overview
| NPI | 1003804352 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MEDICAL DOCTOR |
| Sole proprietor | No |
| NPI issued | Oct 11, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 20081 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 356 |
|---|---|
| Services billed | 472 across 15 procedure codes |
| Paid by Medicare | $39,505 |
Part D prescriptions in 2024
| Prescriptions (claims) | 453 · 465 30-day fills |
|---|---|
| Patients | 327 |
| Total drug cost | $4,691 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Family Practice |
Medical groups
- Sycamore Lakeland LLCHaleyville, AL · 19 clinicians
- Nwmc Emergency Physicians LLCWinfield, AL · 13 clinicians
- Relias Emergency Medicine Specialists of Fayette LLCFayette, AL · 12 clinicians
Hospital affiliations
- Dch Regional Medical CenterTuscaloosa, AL
- Fayette Medical CenterFayette, AL
- North Mississippi Health Services - South MarionWinfield, AL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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