Organization Active NPI

Sessoms Medical Assoicates,LLC

  • Internal Medicine Physician
  • Clinton, NC
National Provider Identifier
1508123571
Registry record updated Apr 16, 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 ASSOICATES,LLC
Practice address
500 Beaman St
Clinton, NC 28328-2602
Phone
(910) 596-2800
Fax
(910) 592-6518
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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
Owner
Phone
(910) 596-2964

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 St
Clinton, NC 28328-2602

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000205 NC Part B Supplier - Clinic/Group Practice 5799945531 Receives reassigned benefits from 2 practitioners
Practice locations: Clinton, NC; Fayetteville, NC

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.

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1508123571",
    "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": "910-596-2800",
            "fax_number": "910-592-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-596-2800",
            "fax_number": "910-592-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SESSOMS MEDICAL ASSOICATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "SESSOMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-596-2964",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.