NPIMap

Individual provider Active NPI

Falon Rene Sisson, FNP (AANP)

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1396030201
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R877243 Issued in MS
Practice address
9454 Three Rivers Rd
Suite D
Gulfport, MS 39503-4294
Phone
(228) 863-0500
Fax
(228) 863-0502
NPI assigned
Jun 20, 2011
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP004016 GA
Family Nurse Practitioner 363LF0000X R877243 MS Primary

Addresses

Primary practice location

9454 Three Rivers Rd
Suite D
Gulfport, MS 39503-4294

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 863-0500

Other practice location 1

1285 Sims St
Gainesville, GA 30501-3851
Phone (770) 219-2394

Other names 1

  • Falon Rene Kuhagen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120323000415 MS Practitioner - Nurse Practitioner 7416117726 Reassigns benefits to 1 organization
I20260212002890 GA Practitioner - Nurse Practitioner 7416117726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1285 Sims St
Gainesville, GA 30501-3851
Phone (770) 536-0149

1340 Broad Ave
Gulfport, MS 39501-2460

2771 Pass Rd
Suite a
Biloxi, MS 39531-2600
Phone (228) 385-4645

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-NP004016GAMDFamily Nurse Practitioner
R877243MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Dec 16, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 15, 2014 Accepting new patients

Locations

1285 Sims St
Gainesville, GA 30501
Phone (770) 219-8583

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200

Interoperability endpoints

  • Direct secure messaging: fsisson@direct.mhg.com

Organizations & group practices 4

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.

Hospital & facility affiliations 62

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1396030201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-863-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 THREE RIVERS RD",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034294",
            "telephone_number": "228-863-0500",
            "fax_number": "228-863-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Sims St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013851",
            "country_code": "US",
            "telephone_number": "770-219-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON",
        "first_name": "FALON",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "FNP (AANP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FALON",
            "last_name": "KUHAGEN",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.