Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Susan Watts Jeansonne, MD

Pediatrics Physician in Kingsport, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114913365

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Registry record

Entity type Individual (Type 1)

Name Mrs. Susan Watts Jeansonne

Credential MD

Sex Female

Practice address 2002 Brookside Dr, Suite 200, Kingsport, TN, 37660

Phone (423) 224-3933

Fax (423) 224-3934

Enumeration date Sep 23, 2005

Last updated in NPPES Feb 10, 2017

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 40530 (TN) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD025360 (LA) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 40530 (TN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1508394	Medicaid	TN	-
1114913365	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Susan Jeansonne?

Susan Jeansonne is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-10.