GANNON TISSOT PA
NPI 1417813692
Physician Assistant in Columbia, TN

Active since December 31, 2025PECOS EnrolledAccepts Medicare Assignment
1050 N JAMES M CAMPBELL BLVD STE 200, COLUMBIA, TN 38401(931) 381-2663 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gannon Tissot Pa NPPES

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

GANNON TISSOT PA (NPI 1417813692) is an individual physician assistant in Columbia, Tennessee and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417813692
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGANNON TISSOTCredential: PA
Location Address1050 N JAMES M CAMPBELL BLVD STE 200Columbia, TN 38401-2754
Mailing AddressPo Box 306556Nashville, TN 37230-6556 · (615) 329-2294 · Fax (615) 694-7907
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
NPI 1417813692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1050 N JAMES M CAMPBELL BLVD STE 200, Columbia, TN 38401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gannon Tissot Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062997133
PECOS Enrollment IDI20260327000397
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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 20

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

Physician Assistant
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Physician Assistant
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Orthopaedic Surgery
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Orthopaedic Surgery
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Orthopaedic Surgery
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Physical Therapist
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Nurse Practitioner
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401
Physician Assistant
1050 N JAMES M CAMPBELL BLVD STE 200
COLUMBIA, TN 38401

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 Gannon Tissot's NPI number?

The NPI number for Gannon Tissot is 1417813692. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Gannon Tissot located?

Gannon Tissot practices at 1050 N James M Campbell Blvd Ste 200, Columbia, TN 38401. The listed phone number is (931) 381-2663.

What is Gannon Tissot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gannon Tissot enrolled in Medicare?

Yes. Gannon Tissot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gannon Tissot affiliated with any hospitals?

According to CMS data, Gannon Tissot is affiliated with Maury Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gannon Tissot was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.