SUZANNE RENEE GANNON
NPI 1447911383
Physician Assistant in Beaufort, SC

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
955 RIBAUT RD, BEAUFORT, SC 29902(843) 522-5101 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2025, Jun 6, 2023, Jan 3, 2022 (3 updates tracked since 2022).

About Suzanne Renee Gannon NPPES

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

SUZANNE RENEE GANNON (NPI 1447911383) is an individual physician assistant in Beaufort, South Carolina, licensed in Ohio (50.008185RX) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Berea, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447911383
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUZANNE RENEE GANNON
Location Address955 RIBAUT RDBeaufort, SC 29902-5454
Mailing Address955 Ribaut RdBeaufort, SC 29902-5441
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2022
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1447911383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.008185RX
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 50.008185RX (OH)
955 RIBAUT RD, Beaufort, SC 29902

Secondary Practice Location 1

Location 1275 Eastland RdBerea, OH 44017-2005 · Phone (440) 826-2900

Accepted Insurance

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

Suzanne Renee Gannon 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 ID3173985009
PECOS Enrollment IDI20230809003055
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services31 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Emergency Medicine
955 RIBAUT RD, EMERGENCY DEPT
BEAUFORT, SC 29902
Occupational Therapy Assistant
955 RIBAUT RD
BEAUFORT, SC 29902
Emergency Medicine
955 RIBAUT RD
BEAUFORT, SC 29902
Dietitian, Registered
955 RIBAUT RD
BEAUFORT, SC 29902
Radiology (Vascular & Interventional Radiology)
955 RIBAUT RD
BEAUFORT, SC 29902
Dietitian, Registered
955 RIBAUT RD
BEAUFORT, SC 29902
General Acute Care Hospital
955 RIBAUT RD
BEAUFORT, SC 29902
General Acute Care Hospital
955 RIBAUT RD
BEAUFORT, SC 29902

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 Suzanne Gannon's NPI number?

The NPI number for Suzanne Gannon is 1447911383. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Suzanne Gannon located?

Suzanne Gannon practices at 955 Ribaut Rd, Beaufort, SC 29902. The listed phone number is (843) 522-5101.

What is Suzanne Gannon's specialty?

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

Is Suzanne Gannon enrolled in Medicare?

Yes. Suzanne Gannon 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.

What insurance does Suzanne Gannon accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Suzanne 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 Suzanne Gannon was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.