Stephanie Danielle Sisson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN230763 Issued in GA

Practice address

415 E 2ND Ave Ste 100
Rome, GA 30161-3223

Phone

(706) 692-9768

Fax

(706) 692-4040

NPI assigned

Jul 15, 2017

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Georgia Medical Clinic, P.C.

  • Obstetrics & Gynecology Physician
  • Rome, GA
  • NPI 1053462325
  Medicare reassignment NPD
• Regional Obstetrical Consultants PC

  • Maternal & Fetal Medicine Physician
  • Chattanooga, TN
  • NPI 1861485146
  Medicare reassignment
• Internal Medicine Associates of Jasper, PC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1225109838
  NPD
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Specialty Pharmacy

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235651779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 2ND AVE STE 100",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613223",
            "telephone_number": "706-692-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 2ND AVE STE 100",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613223",
            "telephone_number": "706-692-9768",
            "fax_number": "706-692-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brij M Singh, MD
• Jagdeep Singh, M.D.
• Poonam Singh, MD
• Tyrell Xavier Singletary, MD
• Judy F. Singleton, N.P.
• Abby Yearous Skeen, FNP-C
• David Wilson Skinner, MD
• Melissa Ann Skinner, OTR/L
• Michael Skinner, DO
• Robbie Leah Skinner, NP-C

• Family Nurse Practitioner in Rome, GA
• Providers in Rome, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.