Individual provider Active NPI

Paxton Kimber Sisson, P.A.

  • Physician Assistant
  • McKenzie, TN
National Provider Identifier
1801396049
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3514 Issued in TN
Practice address
22700 Highway 22 Ste a
MC Kenzie, TN 38201-8679
Phone
(731) 986-7200
Fax
(731) 986-7292
NPI assigned
Feb 14, 2018
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3514 TN Primary

Addresses

Primary practice location

22700 Highway 22 Ste a
MC Kenzie, TN 38201-8679

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021

Other practice location 2

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

Other practice location 3

1323 E Wood St
Paris, TN 38242-4421
Phone (731) 641-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180807002612 TN Practitioner - Physician Assistant 3971851916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

1323 E Wood St
Paris, TN 38242-4421
Phone (731) 641-8751

1720 E Reelfoot Ave
Suite 104
Union City, TN 38261-6047
Phone (731) 885-8484

22700 Hwy 22
Suite a
MC Kenzie, TN 38201-8679
Phone (731) 986-7200

3443 Dickerson Pike
Suite 400
Nashville, TN 37207-2524
Phone (615) 612-2146

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince Dec 12, 2020 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Dec 12, 2020 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi PastSince Nov 18, 2025 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1999 Saint John Ave
Dyersburg, TN 38024
Phone (731) 286-0233

631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933

22700 Highway 22
Ste A
Mc Kenzie, TN 38201
Phone (731) 986-7200

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

1323 E Wood St
Paris, TN 38242
Phone (731) 642-2011

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1720 E Reelfoot Ave
Ste 104
Union City, TN 38261
Phone (731) 885-8484

Interoperability endpoints

  • Direct secure messaging: paxton.sisson@ahp.eclinicaldirectplus.com
  • Direct secure messaging: psisson183545@direct.bmhcc.org

Organizations & group practices 5

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 3

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1801396049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22700 HIGHWAY 22 STE A",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382018679",
            "telephone_number": "731-986-7200",
            "fax_number": "731-986-7292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 RB Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383441727",
            "country_code": "US",
            "telephone_number": "731-986-7021",
            "fax_number": "731-986-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615403",
            "country_code": "US",
            "telephone_number": "731-885-2410",
            "fax_number": "731-884-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424421",
            "country_code": "US",
            "telephone_number": "731-641-8751",
            "fax_number": "731-641-8752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISSON",
        "first_name": "PAXTON",
        "middle_name": "KIMBER",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

Sources for this page

Verify at the official NPI Registry.