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

Dr. Kasem Ghannam, DO

Individual provider Family Medicine Physician · NPI 1417680067

Dr. Kasem Ghannam, DO is an Emergency Medicine in Jackson, Tennessee. Qualified in 2022, 4 years ago. Practices with Emergency Medical Care Facilities PC, a 54-clinician group and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
4
Licensed in
IL, TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 6303 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125081037 (IL)

Record details

NPI number1417680067
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 15, 2025
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Medical Care Facilities Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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