Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205828555 Deactivated / Inactive NPI Female Practitioner

Jacquelyn Halleck Sisk , RPH

Pharmacist • Dallas, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacquelyn Sisk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2005
NPI Deactivation Date April 28, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Jacquelyn Sisk, RPH was a registered Pharmacist practicing in Dallas, GA. Throughout an active medical career spanning 16 years, Jacquelyn Sisk provided care at the practice location at 600 W MEMORIAL DR until profile deactivation on 2021-04-28.

Practice Location & Contact Primary Location

Practice Address

600 W Memorial Dr

Dallas, GA 301324117

Telephone 7704434781
Fax 7704434782
Associated Practice Facility / Clinic
🏢 Paulding Medical Center, Inc. Facility NPI 1962473355

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dallas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
58 Specialists

Practicing in Dallas, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 013820

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Sharon Amaya , MD

Emergency Medicine

NPI 1326151861

Doctor of Medicine (M.D.)

Joy Onwusibe , NP

Nurse Practitioner - Adult Health

NPI 1568718450

Nurse Practitioner

Candace Colston

Nurse Practitioner

NPI 1730574450

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 28, 2021

Record deactivated on April 28, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 600 W MEMORIAL DR, DALLAS, GA 301324117 (Tel: 7704434781)

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Updated Business Mailing Address July 08, 2007

Registered at 166 THREECHOP DR NW, MARIETTA, GA 300645143 (Tel: 7704221824)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACQUELYN SISK, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #013820 in GA)

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Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205828555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: July 08, 2007
Deactivation Date: April 28, 2021

Mailing Address

166 Threechop Dr Nw

Marietta, GA 300645143

Phone: 7704221824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.