ANGELA GANNON MD
NPI 1740481431
Psychiatry & Neurology - Psychiatry in Jacksonville, NC

Q: What is Angela Gannon's NPI number?

The NPI number for Angela Gannon is 1740481431. It was assigned to this individual provider in the NPPES registry on May 30, 2007. The provider is also known as Angela Smith MD.

Q: What is Angela Gannon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Angela Gannon was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 30, 2007PECOS Enrolled

200 TARPON TRL, JACKSONVILLE, NC 28546(910) 938-1114(910) 938-1118 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 14, 2019, Aug 21, 2018, Nov 9, 2015 (3 updates tracked since 2015).

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About Angela Gannon Md NPPES

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

ANGELA GANNON MD (NPI 1740481431) is an individual psychiatry provider in Jacksonville, North Carolina, licensed in North Carolina (2018-00436) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740481431

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameANGELA GANNONCredential: MD

Location Address200 TARPON TRLJacksonville, NC 28546-5287

Mailing Address200 Tarpon TrlJacksonville, NC 28546-5287 · (910) 938-1114 · Fax (910) 938-1118

Phone(910) 938-1114

Fax(910) 938-1118

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateOctober 14, 20193 updates tracked since enumeration

✔ NPI 1740481431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NC · 2018-00436✔ Licensed in NY · 258681✔ Licensed in OH · 092762

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

200 TARPON TRL, Jacksonville, NC 28546

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Other Names 1

Former Name (1)Angela Smith Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Gannon Md 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 28546 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

AMANDA ASHLEY MANNING LCSW-A

Social Worker (Clinical)