TIMOTHY HUGH GANNON MD NPI 1083676852

NPI Information

  • NPI: 1083676852
  • Provider Name: TIMOTHY HUGH GANNON, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4300 W MAIN ST
    SUITE 403
    DOTHAN, AL
    ZIP 36305
  • Phone: (334) 793-4788

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NPI Details

Timothy Hugh Gannon, MD is a specialist in Dothan, AL with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Timothy Hugh Gannon, MD NPI is 1083676852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

4300 W MAIN ST
SUITE 403
DOTHAN, AL
ZIP 36305-054
Phone: (334) 793-4788
Fax: (334) 793-1561

The NPI 1083676852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of impacted ear wax (HCPCS:69210)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Test to assess middle ear function (HCPCS:92567)
  • Ct scan of face without contrast (HCPCS:70486)
  • Test for balance and posture with motor control and adaption test (HCPCS:92549)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Evaluation and testing for balance with recording (HCPCS:92540)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Incision of eardrum with insertion of eardrum tube under local or topical anesthesia (HCPCS:69433)
  • Simple control of nose bleed (HCPCS:30901)
  • Test for balance and posture (HCPCS:92548)

The enumeration date for this NPI number is 4/5/2006 and was last updated on 4/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C71200MEDICARE UPINALABAMA
2000031973MEDICAIDALABAMA
3000031973MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE
4174017500OTHERALABAMAUS DEPT OF LAOBR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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