Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KASEM GHANNAM, D.O.
ActiveDR. KASEM GHANNAM, D.O. is a Emergency Medicine healthcare provider located in JACKSON, Tennessee. NPI 1417680067 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · JACKSON, TN
Registration Details
- NPI Number
- 1417680067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2022 (4.1089908355969 yrs)
- Last Updated
- Jul 24, 2025
- Licenses
-
125081037 (IL)6303 (TN)
Practice Information
- Address
-
620 SKYLINE DRJACKSON, TN, 383013923Browse TN providers · Browse ZIP 38301
- Phone
- 7315410000
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT E TURNER III | MD | 1417958216 |
| DR. DONALD CHARLES CORRELL | MD | 1013995547 |
| THOMAS PHILLIP NORSWORTHY | M.D. | 1790764223 |
| WILLIAM L. MCGUIRE | M.D. | 1164401618 |
| JOE M. HARRIS | M.D. | 1760461222 |
| JACKIE L. TAYLOR | M.D. | 1710966130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.