Individual provider Active NPI

Jessica Lynn Visser, MD

  • Hospitalist Physician
  • Canton, GA
National Provider Identifier
1912249756
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD215597 Issued in OR
Practice address
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone
(770) 224-1000
Fax
(770) 224-2451
NPI assigned
Mar 19, 2013
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 079324 GA
Family Medicine Physician 207Q00000X ME127657 FL
Addiction Medicine (Family Medicine) Physician 207QA0401X ME127657 FL
Hospitalist Physician 208M00000X MD215597 OR Primary

Addresses

Primary practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, OR, OK, IA, NY, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20161118000592 FL Practitioner - Family PracticePractitioner - Hospitalist 6901185784 Reassigns benefits to 5 organizations
I20181005002241 GA Practitioner - Family Practice 6901185784 Reassigns benefits to 1 organization
I20230818002523 OR Practitioner - HospitalistPractitioner - Family Practice 6901185784 Reassigns benefits to 1 organization
I20240419003609 OK Practitioner - HospitalistPractitioner - Family Practice 6901185784 Reassigns benefits to 1 organization
I20240426002180 IA Practitioner - HospitalistPractitioner - General Practice 6901185784 Reassigns benefits to 1 organization
I20260407002892 NY Practitioner - Family Practice 6901185784 Reassigns benefits to 1 organization
I20260414001567 CA Practitioner - Family Practice 6901185784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4899
Phone (772) 461-4000

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127657FLMDFamily Medicine Physician
079324GAMDFamily Medicine Physician
MD215597ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Jan 29, 2024 Accepting new patients
Visser Health LLC Family Medicine CurrentSince Mar 16, 2026 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Mar 28, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Mar 28, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Mar 28, 2023 Accepting new patients
Genesis Health System CurrentSince Mar 23, 2024 Accepting new patients
Inpatient Consultants of Florida Inc Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Genesis Health System Family Medicine CurrentSince Mar 23, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince May 30, 2024 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Sep 9, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 29, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Jun 23, 2025 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1892 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 475-5369

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1912249756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "079324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME127657",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME127657",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD215597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.