Emergency Medicine
Dr. KASEM GHANNAM D.O.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417680067 · enumerated 2022-07-01 · record updated 2025-07-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 620 SKYLINE DR, JACKSON, TN, 38301-3923 Google Maps Apple Maps OpenStreetMap
- Practice location 620 SKYLINE DR, JACKSON, TN, 38301-3923 (731) 541-0000 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License 125081037 IL
- Emergency Medicine 207P00000X · Primary · License 6303 TN
In this directory
Locations and evidence
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Practice location
JACKSON, TN, 383013923
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.