KELLY SISSON AGACNP
NPI 1225604093
Nurse Practitioner - Acute Care in Lawrenceville, GA
About Kelly Sisson Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SISSON AGACNP (NPI 1225604093) is an individual acute care provider in Lawrenceville, Georgia, licensed in Georgia (RN191117) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of South Alabama College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Sisson Agacnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Sisson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
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 Kelly Sisson's NPI number?
The NPI number for Kelly Sisson is 1225604093. It was assigned to this individual provider in the NPPES registry on June 2, 2021.
Where is Kelly Sisson located?
Kelly Sisson practices at 575 Professional Dr Ste 400, Lawrenceville, GA 30046. The listed phone number is (404) 962-6000.
What is Kelly Sisson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Sisson enrolled in Medicare?
Yes. Kelly Sisson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Sisson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Sisson reassigns Medicare benefits to Northside Cardiovascular Professional Services, LLC (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Sisson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Sisson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly Sisson 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.
Is Kelly Sisson affiliated with any hospitals?
According to CMS data, Kelly Sisson is affiliated with Northside Hospital Forsyth.
When was this NPI record last updated?
The NPPES record for Kelly Sisson was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelly Sisson, AGACNP · NPI 1225604093
Acute Care physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1225604093 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN191117 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 575 PROFESSIONAL DR STE 400, Lawrenceville, GA 30046-3335
- **Phone:** (404) 962-6000 · **Fax:** (404) 962-6001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northside Cardiovascular Professional Services, LLC (NPI 1518979921, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** June 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1225604093) · Data from the CMS NPPES public registry.