NPI age
20 years
Enumerated 2006-05-25
● Active
Type 1 · Individual
Michael A Sullivan, PA
Sullivan is 1 of 18 physician assistant providers in Tyler and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1890 active physician assistant providers in Texas.
NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
3414 Golden Rd
Tyler, TX 757018336
Mailing address
3414 Golden Rd
Tyler, TX 757018336
Additional practice locations
1 secondary location on file with NPPES.
Location 2
305 W 20th St
Mt Pleasant, TX 754552327
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 187611201 | |
| 01 (TX) | 8X7926 | BCBS |
Practice context
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.