DR. ROBERT A. GANNAWAY M.D.
NPI 1649227745
Family Medicine in Crystal Springs, MS

Active since May 27, 2006
408 E RAILROAD AVE, SUITE B, CRYSTAL SPRINGS, MS 39059(601) 892-7860(601) 892-7861 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Robert A. Gannaway M.d. NPPES

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

DR. ROBERT A. GANNAWAY M.D. (NPI 1649227745) is an individual family medicine provider in Crystal Springs, Mississippi, licensed in Mississippi (12331) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1649227745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROBERT A. GANNAWAYCredential: M.D.
Location Address408 E RAILROAD AVE, SUITE BCrystal Springs, MS 39059-2520
Mailing Address408 E Railroad Ave, Suite BCrystal Springs, MS 39059-2520 · (601) 892-7860 · Fax (601) 892-7861
Fax(601) 892-7861
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1649227745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 12331
Definition
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.
408 E RAILROAD AVE, Crystal Springs, MS 39059

Other Names 1

Professional Name (2)Robert A. Gannaway M.d., Pllc

Other Identifiers 4

Medicaid01529794MS
Other201944354Tin
Medicare UPINEO2939
Medicare ID-Type UnspecifiedCO3236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert A. Gannaway M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Robert Gannaway reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
233 MAGNOLIA ST
Hazlehurst, MS 39083
  • Reassigned Medicare billing, Mississippi enrollment
  • 159 clinicians in this Medicare group
Rural Health
122 E BAKER ST
Indianola, MS 38751
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
Emergency Medicine
606 N JEFFERSON ST
Macon, MS 39341
  • Reassigned Medicare billing, Mississippi enrollment
  • 24 clinicians in this Medicare group
Emergency Medicine
140 BURKE CALHOUN CITY RD
Calhoun City, MS 38916
  • Reassigned Medicare billing, Mississippi enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Family Medicine
408 E RAILROAD AVE, SUITE B
CRYSTAL SPRINGS, MS 39059

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 Robert Gannaway's NPI number?

The NPI number for Robert Gannaway is 1649227745. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Robert A. Gannaway M.D., PLLC.

Where is Robert Gannaway located?

Robert Gannaway practices at 408 E Railroad Ave Suite B, Crystal Springs, MS 39059. The listed phone number is (601) 892-7860.

What is Robert Gannaway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Gannaway enrolled in Medicare?

Yes. Robert Gannaway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Robert Gannaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Gannaway reassigns Medicare benefits to 4 organizations: Keystone Medical Services Of Ms, Inc (Hazlehurst, MS), South Sunflower County Hospital (Indianola, MS), Noxubee General Critical Access Hospital (Macon, MS) and Dobbs Emergency Group, LLC (Calhoun City, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Gannaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Gannaway accept?

Health plans from Molina Healthcare list Robert Gannaway 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 Robert Gannaway was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.