Samuel Kissiedu
Physician Assistant · Chamblee, GA
Samuel Kissiedu is a physician assistant with a practice address in Chamblee, Georgia, and NPI 1235917154, issued on Sep 20, 2023. Check the license with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Samuel Kissiedu
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 6102 Jefferson Cir S, Chamblee, GA 30341
- Phone
- (321) 274-5712
- Enumerated
- Sep 20, 2023
- Record last updated
- Sep 20, 2023
- Medicare enrollment
- Enrolled (PECOS I20260525000396); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Verify Samuel Kissiedu in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Samuel Kissiedu among 4,662 physician assistant records in Georgia
Samuel Kissiedu is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2023, is newer than 77% of them.
- NPI issued2023 · 77% of these records are older, 16% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2024 · median 2018 among the 2,761 with a school on file
- Record last updated2023 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 physician assistant records list a practice address in Chamblee
They are 4 of the 257 NPPES records with a practice address in Chamblee, and 4,662 physician assistant records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,662 in Georgia → Every provider in Chamblee → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Lindsey Clark, PA-CChamblee, GA 303411295108546
- James Clements, PA-CAtlanta, GA 303411558828657
- Katherine Coe, PA-CAtlanta, GA 303411225383938
- Kathleen DavisChamblee, GA 303411982244364
- Stacia FritzAtlanta, GA 303411447772918
- Tyler Jaffe, PA-CAtlanta, GA 303411649914284
- Caren Kaplan, PA-CChamblee, GA 303411447757711
- Joshua Paulos, PA-CAtlanta, GA 303411891209797
Common questions
What is Samuel Kissiedu's NPI number?
Samuel Kissiedu's National Provider Identifier (NPI) is 1235917154, issued on Sep 20, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Kissiedu located?
The NPPES record lists a practice address at 6102 Jefferson Cir S, Chamblee, GA, 30341. Phone: (321) 274-5712. Providers update this record themselves, so call before visiting.
How can I verify Samuel Kissiedu's license?
Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.