DR. KASEM GHANNAM D.O.
NPI 1417680067
Emergency Medicine in Jackson, TN

Q: What is Kasem Ghannam's NPI number?

The NPI number for Kasem Ghannam is 1417680067. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Kasem Ghannam's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kasem Ghannam was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 01, 2022PECOS EnrolledAccepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-0000 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kasem Ghannam D.o. NPPES

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

DR. KASEM GHANNAM D.O. (NPI 1417680067) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (6303) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417680067

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KASEM GHANNAMCredential: D.O.

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address620 Skyline DrJackson, TN 38301-3923

Phone(731) 541-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 1, 2022

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1417680067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 6303

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 125081037 (IL)

620 SKYLINE DR, Jackson, TN 38301

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Accepted Insurance

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

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

Dr. Kasem Ghannam D.o. 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 ID2769865260

PECOS Enrollment IDI20250922001563

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN

OwnershipGovernment - Local

CMS Certification Number440060

Location4039 Highland StMilan, TN 38358 · Gibson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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.

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