DR. ROAN SUMNER GANNON M.D. NPI 1548529902

NPI Information

  • NPI: 1548529902
  • Provider Name: DR. ROAN SUMNER GANNON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5104 US HIGHWAY 431
    ALBERTVILLE, AL
    ZIP 35950
  • Phone: (256) 878-8180

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NPI Details

DR. Roan Sumner Gannon, M.D. is a family medicine in Albertville, AL with 14 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Roan Sumner Gannon, M.D. NPI is 1548529902. 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:2012

The provider's business location address is:

5104 US HIGHWAY 431
ALBERTVILLE, AL
ZIP 35950-237
Phone: (256) 878-8180
Fax: (256) 891-3693

The NPI 1548529902 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, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Removal of impacted ear wax (HCPCS:69210)

The enumeration date for this NPI number is 5/4/2012 and was last updated on 4/23/2015.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily Medicine33074ALABAMAYes

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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