NPIMap

Organization Active NPI

Sessoms Medical Associates, LLC

  • Internal Medicine Physician
  • Clinton, NC
National Provider Identifier
1487753182
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33927 Issued in NC
Legal business name
SESSOMS MEDICAL ASSOCIATES, LLC
Practice address
500 Beaman Street
Clinton, NC 28328
Phone
(910) 596-2800
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Rodney Kevin Sessoms, M.D.NPI 1558314476
Title
Sec
Phone
(910) 596-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 33927 NC Primary

Addresses

Primary practice location

500 Beaman Street
Clinton, NC 28328

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
2174820COtherNCKIMBERLY GRIGSBY SESSOMS MEDICARE PIN
8975241OtherNCMEDICAID KIMBERLY GRIGSBY-SESSOMS
8975252MedicaidNC
2172583DOtherNCOLD MEDICARE PIN RODNEY K SESSOMS

Other names 1

  • SESSOMS MEDICAL PRACTICE, PA Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0923894Sessoms Medical Associates, PLLC500 Beaman Street, Clinton, NC 28328Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sessoms Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1487753182",
    "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": "500 BEAMAN STREET",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-596-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SESSOMS MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "910-596-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "33927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIMBERLY GRIGSBY SESSOMS  MEDICARE PIN",
            "identifier": "2174820C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KIMBERLY GRIGSBY-SESSOMS",
            "identifier": "8975241",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975252",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD MEDICARE PIN RODNEY K SESSOMS",
            "identifier": "2172583D",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SESSOMS MEDICAL PRACTICE, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.