ANGELA GANNON (NPI# 1740481431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740481431 |
| Entity Type | Individual |
| Full Name | ANGELA GANNON |
| Other Name | ANGELA SMITH |
| Credential | MD |
| Practice Address |
200 Tarpon Trl Jacksonville NC 28546-5287 |
| Practice Telephone | 9109381114 |
| Practice Fax Number | 9109381118 |
| Mailing Telephone | 9109381114 |
| Mailing Fax Number | 9109381118 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
258681 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2018-00436 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
092762 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063751782 | Angela Cappuccilli Gannon | Social Worker | 7010 Braddock Rd, Annandale, VA 22003-6006 | 2013-02-01 |
| Street Address |
200 TARPON TRL |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643151 | Antonio Cusi | Psychiatry & Neurology | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2005-10-17 |
| 1174123541 | Weston Blake Mills | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-10-27 |
| 1801411707 | Marisa T Nieves | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2020-06-16 |
| 1043854631 | Emily Moreland | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-11-06 |
| 1699316026 | Rebecca Sinnett Shepherd | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-10-07 |
| 1225686520 | Felix Raphael Rivera | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-29 |
| 1568018182 | Stephanie J Garcia | Counselor | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-08-11 |
| 1235781022 | Ashley Covington-wright | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1770135519 | Robert Lee Wilder Jr. | Social Worker | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-11 |
| 1720640311 | Mary Elizabeth Feinour | Physician Assistant | 200 Tarpon Trl, Jacksonville, NC 28546-5287 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441983 | Rebecca Taylor Dickerson | Psychiatry & Neurology | 5927 Old Timuquana Rd, Jacksonville, FL 32210-7889 | 2019-11-13 |
| 1821631045 | Rashan Jammeelah Jones | Psychiatry & Neurology | 5991 Chester Ave Ste 106, Jacksonville, FL 32217-2265 | 2019-10-21 |
| 1407320690 | Artistic Psychiatric Associates LLC | Psychiatry & Neurology | 9550 Regency Square Blvd Ste 903, Jacksonville, FL 32225-8116 | 2019-01-22 |
| 1447754080 | Julia Teytelbaum | Psychiatry & Neurology | 580 W 8th St Fl II6, Jacksonville, FL 32209-6533 | 2018-03-20 |
| 1205330933 | Luka Sogorovic | Psychiatry & Neurology | 580 W 8th St Fl 6, Jacksonville, FL 32209-6533 | 2018-03-19 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1033503503 | Victor Bryant Adriano Santos | Psychiatry & Neurology | 8823 San Jose Blvd Ste 301, Jacksonville, FL 32217-4290 | 2015-03-23 |
| 1336540830 | Angeles Alvarez-mullin | Psychiatry & Neurology | 7825 Baymeadows Way Suite 300, Florida Dept of Health, Division of Disabilities Determ, Jacksonville, FL 32256 | 2014-09-16 |
| 1639512833 | Robert D. Puder | Psychiatry & Neurology | 1250 Western Blvd Ste L2, #292, Jacksonville, NC 28546-6755 | 2013-04-08 |
| 1043586746 | Henry Lepely Md Pa | Psychiatry & Neurology | 4131 University Blvd S Ste 7, Jacksonville, FL 32216-4346 | 2012-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on ANGELA GANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.