William Timothy Gannon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33498 Issued in AL

Practice address

2664 Hartford Hwy
Dothan, AL 36305-4904

Phone

(334) 699-2244

Fax

(334) 699-2245

NPI assigned

May 8, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of South Alabama College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgical Associates P CGroup PAC ID 5597814525, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.92 of 100Reported as group

Quality

100

Improvement activities

40

Cost

49.74

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Surgical Associates P C

  • Ophthalmology Physician
  • Dothan, AL
  • NPI 1669648879

  FL

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275978850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 HARTFORD HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054904",
            "telephone_number": "334-699-2244",
            "fax_number": "334-699-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 HARTFORD HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054904",
            "telephone_number": "334-699-2244",
            "fax_number": "334-699-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "WILLIAM",
        "middle_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "33498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Brannon Galloway, DDS, MS
• Kylie Gamble
• Aubrey Dustin Gandy, D.O.
• Herbert H Gannon Jr., MD
• Timothy Hugh Gannon, MD
• Michael W Garland, BS PHARM
• Tionna Garlington
• Robert Dale Garrett, CRNA
• Belinda Gail Garzarek, CRNA
• Marcela Garzon, MD

• Ophthalmology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.