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

Kathleen Williams Nissman, MD

Individual provider Anesthesiology Physician · NPI 1962606269

Kathleen Williams Nissman, MD is an Anesthesiology in Raleigh, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2005, 21 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
21
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3241
Fax: (919) 784-6862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2011-01231 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 97347 (GA)

Record details

NPI number1962606269
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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