What is Samuel Kissiedu's NPI number?

Samuel Kissiedu's National Provider Identifier (NPI) is 1235917154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Samuel Kissiedu's specialty?

Samuel Kissiedu is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Samuel Kissiedu located?

Samuel Kissiedu's practice location on file with NPPES is 6102 Jefferson Cir S, Chamblee, GA 30341-2661.

What is Samuel Kissiedu's phone number?

The practice phone number listed in the NPPES registry for Samuel Kissiedu is (321) 274-5712.

Is Samuel Kissiedu's NPI active?

Yes — Samuel Kissiedu's NPI (1235917154) is active in the NPPES registry as of the last update on 2023-09-20.

IndividualActive

Samuel Kissiedu

NPI 1235917154 · Physician Assistant · Chamblee, GA

Samuel Kissiedu is a Physician Assistant provider in Chamblee, GA (NPI 1235917154).

Provider details

NPI number: 1235917154
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

6102 Jefferson Cir S

Chamblee, GA 30341-2661

Phone: (321) 274-5712

Street-level locationGet directions

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Mailing address