Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carson Kisner, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1235558537

Carson Kisner, MD is an Interventional Radiology in Jackson, Tennessee. Graduated from University of Mississippi School of Medicine in 2014, 12 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Trained at
University of Mississippi School of Medicine
Licensed in
TN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

60 Physicians Dr
Jackson, TN 38305-2070
Phone: (731) 240-1747
Fax: (731) 240-1755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 60769 (TN)

Record details

NPI number1235558537
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2014
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing address60 Physicians Dr, Jackson, TN 38305-2070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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