NPIMap

Individual provider Active NPI

Kimberly Denise Grigsby-Sessoms, M.D.

  • Internal Medicine Physician
  • Rose Hill, NC
National Provider Identifier
1396799334
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33919 Issued in NC
Practice address
102 SW Railroad St
Rose Hill, NC 28458-9200
Phone
(910) 289-9248
Fax
(910) 289-7437
NPI assigned
May 22, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33919 NC Primary

Addresses

Primary practice location

102 SW Railroad St
Rose Hill, NC 28458-9200

Mailing address

500 Beaman St
Clinton, NC 28328-2602
Phone (910) 290-5000

Other identifiers 3

IdentifierTypeStateIssuer
890161LMedicaidNC
75241OtherNCBCBS
8975241MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000432 NC Practitioner - Internal Medicine 1951383454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sessoms Medical Assoicates,LLCGroup PAC ID 5799945531, 2 clinicians

Practice addresses (Care Compare)

500 Beaman St
Clinton, NC 28328-2602
Phone (910) 596-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sessoms Medical Assoicates,LLC Internal Medicine CurrentSince Sep 6, 2012 Accepting new patients
Extended Care Physicians - Metrolina PA PastSince Jan 2, 2015 Accepting new patients
Sessoms Medical Associates, LLC Internal Medicine PastSince Sep 15, 2008 Accepting new patients
Kenansville Opco LLC Past Accepting new patients

Locations

500 Beaman St
Clinton, NC 28328
Phone (910) 290-5000

414 Owen Dr
Fayetteville, NC 28304
Phone (910) 483-3534

102 SW Railroad St
Rose Hill, NC 28458
Phone (910) 289-9248

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJFDD/Endpoint/ABJFDD

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1396799334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-290-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SW RAILROAD ST",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "284589200",
            "telephone_number": "910-289-9248",
            "fax_number": "910-289-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY-SESSOMS",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "33919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890161L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75241",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rose Hill, NC

Sources for this page

Verify at the official NPI Registry.