MS. OLIVIA NICOLE GANNON DDS
NPI 1033201397
Dentist - General Practice in Johnson City, TN

Q: What is Olivia Gannon's NPI number?

The NPI number for Olivia Gannon is 1033201397. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Olivia Gannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Gannon was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2006PECOS Enrolled

219 PRINCETON ROAD, JOHNSON CITY, TN 37601(423) 975-2200(423) 975-2210 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Olivia Nicole Gannon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. OLIVIA NICOLE GANNON DDS (NPI 1033201397) is an individual general practice provider in Johnson City, Tennessee, licensed in Tennessee (DS9546) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033201397

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMS. OLIVIA NICOLE GANNONCredential: DDS

Location Address219 PRINCETON ROADJohnson City, TN 37601

Mailing Address219 Princeton RoadJohnson City, TN 37601 · (423) 975-2200 · Fax (423) 975-2210

Phone(423) 975-2200

Fax(423) 975-2210

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateFebruary 22, 2019

✔ NPI 1033201397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in TN · DS9546✔ Licensed in VA · 0401411537

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

219 PRINCETON ROAD, Johnson City, TN 37601

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Other Identifiers 1

Other9183867VA · Doral

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Olivia Nicole Gannon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAY ARLEN RENFRO MD

Family Medicine

219 PRINCETON ROAD
JOHNSON CITY, TN 37601

Washington County (423) 975-2200

MRS. MARY BETH STILL APN

Nurse Practitioner

219 PRINCETON ROAD, WASHINGTON COUNTY HEALTH DEPARTMENT
JOHNSON CITY, TN 37601

Washington County (423) 975-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Gannon's NPI number?

The NPI number for Olivia Gannon is 1033201397. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Olivia Gannon located?

Olivia Gannon practices at 219 Princeton Road, Johnson City, TN 37601. The listed phone number is (423) 975-2200.

What is Olivia Gannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Olivia Gannon enrolled in Medicare?

Yes. Olivia Gannon is registered in the Medicare PECOS enrollment system.

What insurance does Olivia Gannon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Olivia Gannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olivia Gannon was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.