NPIMap

Individual provider Active NPI

Rodney Kevin Sessoms, M.D.

  • Internal Medicine Physician
  • Clinton, NC
National Provider Identifier
1558314476
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33927 Issued in NC
Practice address
500 Beaman St
Clinton, NC 28328-2602
Phone
(910) 596-2800
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33927 NC Primary
Psychiatry Physician 2084P0800X 8975253 NC
Child & Adolescent Psychiatry Physician 2084P0804X 8975253 NC

Addresses

Primary practice location

500 Beaman St
Clinton, NC 28328-2602

Mailing address

500 Beaman St
Clinton, NC 28328-2602
Phone (910) 292-5000

Other identifiers 3

IdentifierTypeStateIssuer
75253OtherNCBCBS
890108UOtherNCMEDICAID OLD
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
I20040611001175 NC Practitioner - Internal Medicine 2466435102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33927NCMDInternal Medicine Physician
8975253NCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sessoms Medical Assoicates,LLC Internal Medicine CurrentSince Apr 23, 2012 Accepting new patients
Duplin Medical Association Inc PastSince Feb 24, 2014 Accepting new patients
Sessoms Medical Associates, LLC Internal Medicine Past Accepting new patients
Fayetteville Medical Clinic, PC Internal Medicine 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

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 and National Provider Directory roles.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1558314476",
    "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": "910-292-5000"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSOMS",
        "first_name": "RODNEY",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "33927",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "8975253",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "8975253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75253",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OLD",
            "identifier": "890108U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.