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MRS. SUSAN WATTS JEANSONNE MD
NPI 1114913365
Pediatrics in Kingsport, TN

Active since September 23, 2005PECOS Enrolled
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660(423) 224-3933(423) 224-3934 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan Watts Jeansonne Md NPPES

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

MRS. SUSAN WATTS JEANSONNE MD (NPI 1114913365) is an individual pediatrics provider in Kingsport, Tennessee, licensed in Tennessee (40530) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114913365
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. SUSAN WATTS JEANSONNECredential: MD
Location Address2002 BROOKSIDE DR, SUITE 200Kingsport, TN 37660-4634
Mailing Address2002 Brookside Dr, Suite 200Kingsport, TN 37660-4634 · (423) 224-3933 · Fax (423) 224-3934
Phone(423) 224-3933
Fax(423) 224-3934
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateFebruary 10, 2017
✔ NPI 1114913365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TN · 40530✔ Licensed in LA · MD025360
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 40530 (TN)
2002 BROOKSIDE DR, Kingsport, TN 37660
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Other Identifiers 5

Medicare PIN103I373720TN
Medicaid1114913365VA
Medicaid1508394TN
Medicare PIN103I377106TN
Medicare UPIN3709285TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Watts Jeansonne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37660 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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.

MRS. MICHELLE R ESTES MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
DR. STEVEN C BUTLER M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. SHELDON H FISHER DO
Obstetrics & Gynecology
2002 BROOKSIDE DR, STE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
MRS. CINDY SUE BUTLER N.P.
Nurse Practitioner
2002 BROOKSIDE DR, SUITE102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
2002 BROOKSIDE DR, SUITE 300A
KINGSPORT, TN 37660
Sullivan County (423) 232-6900
DR. ABRAR AHMAD M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
JACK R CROWDER M.D.
Obstetrics & Gynecology
2002 BROOKSIDE DR, SUITE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
DR. NATASHA BENFIELD GOUGE PHD
Psychologist (Clinical)
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933

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 Susan Jeansonne's NPI number?

The NPI number for Susan Jeansonne is 1114913365. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Susan Jeansonne located?

Susan Jeansonne practices at 2002 Brookside Dr Suite 200, Kingsport, TN 37660. The listed phone number is (423) 224-3933.

What is Susan Jeansonne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Jeansonne enrolled in Medicare?

Yes. Susan Jeansonne is registered in the Medicare PECOS enrollment system.

What insurance does Susan Jeansonne accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Susan Jeansonne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Jeansonne was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.