JAMES MICHAEL GANNON M.D.
NPI 1851506604
Radiology - Diagnostic Radiology in Fayetteville, NC

Q: What is James Gannon's NPI number?

The NPI number for James Gannon is 1851506604. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is James Gannon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for James Gannon was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 14, 2007

7300 S RAEFORD RD, FAYETTEVILLE, NC 28304(910) 488-2120 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2020, Feb 5, 2019, Feb 1, 2019 (3 updates tracked since 2019).

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About James Michael Gannon M.d. NPPES

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

JAMES MICHAEL GANNON M.D. (NPI 1851506604) is an individual diagnostic radiology provider in Fayetteville, North Carolina, licensed in North Carolina (2018-00911) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1851506604

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAMES MICHAEL GANNONCredential: M.D.

Location Address7300 S RAEFORD RDFayetteville, NC 28304-6162

Mailing Address213 Ivey Gate LnGarner, NC 27529-7528 · (440) 429-2624

Phone(910) 488-2120

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1851506604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NC · 2018-00911

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedNuclear MedicineTaxonomy 207U00000X · License 253692 (NY)

7300 S RAEFORD RD, Fayetteville, NC 28304

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Other Identifiers 1

Medicaid03033185NY

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.

JESSICA MARIE PARKS PHARMD

Pharmacist