MISS KENEDY MCCADE SISSON
NPI 1104663657
Physician Assistant in Westmoreland, TN

Q: What is Kenedy Sisson's NPI number?

The NPI number for Kenedy Sisson is 1104663657. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Q: What is Kenedy Sisson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenedy Sisson was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment

1124 NEW HIGHWAY 52 E, WESTMORELAND, TN 37186(615) 644-2000 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Nov 10, 2025, Jul 11, 2024 (3 updates tracked since 2024).

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About Miss Kenedy Mccade Sisson NPPES

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

MISS KENEDY MCCADE SISSON (NPI 1104663657) is an individual physician assistant in Westmoreland, Tennessee, licensed in Tennessee (6740) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gallatin, and is a graduate of University Of Mississippi School Of Medicine (2018).

NPPES Registry Identity

NPI1104663657

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS KENEDY MCCADE SISSON

Location Address1124 NEW HIGHWAY 52 EWestmoreland, TN 37186-5032

Mailing Address1124 New Highway 52 EWestmoreland, TN 37186-5032 · (615) 644-2000

Phone(615) 644-2000

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018

Enumeration DateJuly 11, 2024

Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1104663657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 6740

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1124 NEW HIGHWAY 52 E, Westmoreland, TN 37186

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Secondary Practice Location 1

Location 1300 Steam Plant Rd Ste 210Gallatin, TN 37066-3060 · Phone (615) 644-0509

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kenedy Mccade Sisson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739671587

PECOS Enrollment IDI20251119004984

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37186 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RICHARD C COX PHARMD

Pharmacist