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

Kelly Sisson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1225604093

Kelly Sisson, AGACNP is a Nurse Practitioner in Lawrenceville, Georgia. Graduated from University of South Alabama College of Medicine in 2020, 6 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
University of South Alabama College of Medicine
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

575 Professional Dr Ste 400
Lawrenceville, GA 30046-3335
Phone: (404) 962-6000
Fax: (404) 962-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN191117 (GA)

Record details

NPI number1225604093
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address575 Professional Dr Ste 400, Lawrenceville, GA 30046-3335

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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