KASEY SISSOM (NPI# 1215276373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215276373 |
| Entity Type | Individual |
| Full Name | KASEY SISSOM |
| Credential | FNP |
| Practice Address |
200 Evitt Pkwy Ringgold GA 30736-3183 |
| Practice Telephone | 7065815449 |
| Mailing Telephone | 7065815449 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | RN185647 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 Burleyson Rd, Dalton, GA 307203016 | 7065815449 |
| Street Address |
200 EVITT PKWY |
| City | RINGGOLD |
| State | GA |
| Zip Code | 30736-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649746132 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 150 Highway 41, Ringgold, GA 30736 | 2018-10-23 |
| 1033693536 | Daniel Travis | Occupational Therapist | 4725 Battlefield Pkwy, Ringgold, GA 30736 | 2018-09-20 |
| 1124505458 | Publix Super Markets, Inc. | Pharmacy | 3775 Battlefield Pkwy, Ringgold, GA 30736 | 2018-07-19 |
| 1992202840 | Benjamin Travanta Oliver | Physician Assistant | 45 College Park Dr Ste A, Ringgold, GA 30736 | 2018-04-08 |
| 1891299970 | Zach Walker | Chiropractor | 6715 Us-41, Ringgold, GA 30736 | 2018-03-22 |
| 1871095331 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-03-01 |
| 1871043711 | Kristen Connell Schulz | Counselor | 4083 Cloud Springs Road, Ringgold, GA 30736 | 2016-10-04 |
| 1467862649 | Alicia Daniels Dyer | Pediatrics | Chi Memorial Pediatric Diagnostic Associates, 4700 Battlefield Parkway, Suite 230, Ringgold, GA 30736 | 2014-04-28 |
| 1669899563 | Alford Leon Dyer IIi | Pediatrics | 4700 Battlefield Parkway, Suite 230, Chi Memorial Pediatric Diagnostic Associates, Ringgold, GA 30736 | 2014-03-28 |
| 1790065233 | Megan Potts Brown | Family Medicine | 45 College Park Dr, Ringgold, GA 30736 | 2011-08-27 |
| Find all providers in zip 30736 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495326 | Derek Heldzinger Professional, LLC | Family Medicine | 102 Rbc Dr, Ringgold, GA 30736-2787 | 2020-04-03 |
| 1790065233 | Megan Potts Brown | Family Medicine | 45 College Park Dr, Ringgold, GA 30736 | 2011-08-27 |
| 1750680104 | Kaushal Shambhubhai Chaudhari | Family Medicine | 4700 Battlefield Parkway, Suite 200, Ringgold, GA 30736 | 2011-03-24 |
| 1477692549 | Chattanooga Hamilton County Hospital Authority | Family Medicine | 60 Erlanger South Drive, Suite A, Ringgold, GA 30736-3179 | 2007-02-06 |
| 1851478028 | Catoosa Family Medicine | Family Medicine | 313 Boynton Dr, Ringgold, GA 30736-2737 | 2006-11-01 |
| 1417963026 | Scott Christopher Mitchell | Family Medicine | 60 Millennium Cir, Ringgold, GA 30736-2775 | 2006-08-01 |
| 1871518860 | John David Harris Jr. | Family Medicine | 5195 Battlefield Pkwy, Ringgold, GA 30736-5148 | 2006-07-12 |
| 1689616237 | North Georgia Primary Care Group LLC | Family Medicine | 128 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2006-06-11 |
| 1841239555 | Christopher G Haddock | Family Medicine | 60 Erlanger South Dr Ste A, Ringgold, GA 30736-3179 | 2006-06-06 |
| 1942279385 | Ringgold Medical Center | Family Medicine | 886 Lafayette St, Ringgold, GA 30736 | 2006-03-17 |
| Find all providers in RINGGOLD | ||||
Please comment or provide details below to improve the information on KASEY SISSOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.