JOHN MARTIN SISSON DO
NPI 1619768611
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since May 16, 2025
400 N STATE OF FRANKLIN RD STE 7303, JOHNSON CITY, TN 37604(423) 439-8805 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Martin Sisson Do NPPES

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

JOHN MARTIN SISSON DO (NPI 1619768611) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1619768611
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN MARTIN SISSONCredential: DO
Location Address400 N STATE OF FRANKLIN RD STE 7303Johnson City, TN 37604-6035
Mailing Address400 N State Of Franklin Rd Ste 7303Johnson City, TN 37604-6035
Sole ProprietorNo
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
NPI 1619768611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N STATE OF FRANKLIN RD STE 7303, Johnson City, TN 37604

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD STE 7303
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD STE 7303
JOHNSON CITY, TN 37604
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD STE 7303
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619768611, enumerated as an "individual" on May 16, 2025.

The provider is located at 400 N STATE OF FRANKLIN RD STE 7303 JOHNSON CITY, TN 37604 and the phone number is (423) 439-8805.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.