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DR. THOMAS LEWIS SISTRUNK M.D.
NPI 1063486843
Radiology - Diagnostic Radiology in Carrollton, GA

Active since February 16, 2006
705 DIXIE ST, CARROLLTON, GA 30117(770) 836-9660(770) 812-5028 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Lewis Sistrunk M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS LEWIS SISTRUNK M.D. (NPI 1063486843) is an individual diagnostic radiology provider in Carrollton, Georgia, licensed in Georgia (019424) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063486843
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. THOMAS LEWIS SISTRUNKCredential: M.D.
Location Address705 DIXIE STCarrollton, GA 30117-3818
Mailing Address119 Maple St, Suite 205Carrollton, GA 30117-3230 · (770) 831-0751
Phone(770) 836-9660
Fax(770) 812-5028
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1063486843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 019424
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
705 DIXIE ST, Carrollton, GA 30117
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Other Identifiers 4

Medicare UPINE87640GA
Medicaid000229567BGA
Other028143GA · Blue Cross Blue Shield
Medicare ID-Type Unspecified30CDBCBGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST GEORGIA PATHOLOGY, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117
Carroll County (678) 305-9046
LORIEN T ALTADONNA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 836-9672
DR. AARON EZRA HARPER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666
DR. ODESSA KIRSTEN SPRAGGINS MD
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
SANDRA HARRINGTON
Health Educator
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-5954
DR. MICHAEL HAMNER DO
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (800) 232-5703
ERIN DAWN CANSLER RN
Registered Nurse
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 812-9666
AGNES NAMBIRO-KASOLO M.D.
Internal Medicine
705 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-8824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Sistrunk's NPI number?

The NPI number for Thomas Sistrunk is 1063486843. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Thomas Sistrunk located?

Thomas Sistrunk practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 836-9660.

What is Thomas Sistrunk's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Thomas Sistrunk was last updated on January 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.