Active NPI
Jessica Lynn Visser, MD
- Hospitalist Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD215597
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME127657 | FL | MD | Family Medicine Physician |
| 079324 | GA | MD | Family Medicine Physician |
| MD215597 | OR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Visser Health LLC | Family Medicine | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Hospitalist | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Hospitalist | Current | Accepting new patients |
| Genesis Health System | Family Medicine | Current | Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Family Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Family Medicine | Current | Accepting new patients |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | 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.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
- Family Medicine Physician
- Port Saint Lucie, FL
- NPI 1063372258
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Family Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Hospitalist
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
dba Docgo
- Internal Medicine Physician
- Torrance, CA
- NPI 1710690433
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.