Kenedy Sisson
NPI 1104663657 · Physician Assistant · Westmoreland, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenedy Sisson is a Physician Assistant provider in Westmoreland, TN (NPI 1104663657).
Provider details
- NPI number
- 1104663657
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6740 (TN)
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 tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
Practice location
Mailing address
Additional practice locations (1)
- 300 Steam Plant Rd Ste 210Gallatin, TN 37066-3060Phone: (615) 644-0509
Registry dates
- Enumerated
- 2024-07-11
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Kenedy Sisson's NPI number?
- Kenedy Sisson's National Provider Identifier (NPI) is 1104663657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenedy Sisson's specialty?
- Kenedy Sisson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenedy Sisson located?
- Kenedy Sisson's practice location on file with NPPES is 1124 New Highway 52 E, Westmoreland, TN 37186-5032.
- What is Kenedy Sisson's phone number?
- The practice phone number listed in the NPPES registry for Kenedy Sisson is (615) 644-2000.
- Does Kenedy Sisson accept Medicare?
- Kenedy Sisson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenedy Sisson's NPI active?
- Yes — Kenedy Sisson's NPI (1104663657) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.