Jennifer Sissom, PA
NPI 1063488708 · Physician Assistant · Snellville, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Sissom, PA is a Physician Assistant provider in Snellville, GA (NPI 1063488708).
Provider details
- NPI number
- 1063488708
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 004267 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
6,371 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 2,772 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,026 | $74 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 744 | $40 |
| Biopsy of Related Skin Growth, First Growth11102 | 627 | $77 |
| Biopsy of Related Skin Growth, Each Additional Growth11103 | 450 | $40 |
| Destruction of Precancer Skin Growth, 15 Or More Growths17004 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 141 | 89 |
| Clobetasol Propionate | 98 | 64 |
| Cephalexin | 91 | 80 |
| Mupirocin | 88 | 80 |
| Triamcinolone Acetonide | 87 | 77 |
| Hydrocortisone | 75 | 55 |
| Doxycycline Hyclate | 72 | 43 |
| Fluorouracil | 72 | 65 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,868 across 156 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 758 Old Norcross RdSuite 100Lawrenceville, GA 30045-3385Phone: (770) 962-4300Fax: (770) 339-7544
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2018-03-17
Frequently asked questions
- What is Jennifer Sissom's NPI number?
- Jennifer Sissom's National Provider Identifier (NPI) is 1063488708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Sissom's specialty?
- Jennifer Sissom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Sissom located?
- Jennifer Sissom's practice location on file with NPPES is 2383 Pate St N, Snellville, GA 30078-3250.
- What is Jennifer Sissom's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Sissom is (770) 972-4845.
- Does Jennifer Sissom accept Medicare?
- Jennifer Sissom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Sissom's NPI active?
- Yes — Jennifer Sissom's NPI (1063488708) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.