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

Jennifer B. Sissom, PA

Individual provider Physician Assistant · NPI 1063488708

Jennifer B. Sissom, PA is a Physician Assistant in Snellville, Georgia. Graduated from Emory University School of Medicine in 2003, 23 years ago. Practices with Gwinnett Dermatology, PC D/B/A Georgia Dermatology Partners, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2383 Pate St N
Snellville, GA 30078-3250
Phone: (770) 972-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 758 Old Norcross Rd, Lawrenceville, GA 30045-3385 — (770) 962-4300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004267 (GA)

Record details

NPI number1063488708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESMarch 17, 2018
Mailing address1609 Mapmaker Dr, Dacula, GA 30019-7818

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Gwinnett Dermatology, Pc D/B/A Georgia Dermatology Partners — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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