Sallyann Jessie Ganpot, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21136 Issued in MS

Practice address

840 N Oak Ave
Ruleville, MS 38771-3227

Phone

(662) 756-1788

Fax

(662) 756-1694

NPI assigned

Jun 17, 2010

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

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

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 1

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.

• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment
• Altapointe Health Systems, Inc.

  dba Accordia Health- South Baldwin

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1508187162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713227",
            "telephone_number": "662-756-1788",
            "fax_number": "662-756-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713227",
            "telephone_number": "662-756-1788",
            "fax_number": "662-756-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANPOT",
        "first_name": "SALLYANN",
        "middle_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "21136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April M Davis, APRN FNP
• Delta Health Center, Inc
• Natalie Roberts Dozier, FNP-C
• Elizabeth L Evans
• Hannah Schlatter Farmer, FNP
• Angela Denise Gibson, FNP-C
• Golden Heritage Adult Day Services (Golden Heritage Personal Care Services)
• Leah Cori Gregory-Johnson, M.S., CCC-SLP
• Happy Day Sitter & Cna Services
• Ambroshia Hope

• Pediatrics Physician in Ruleville, MS
• Providers in Ruleville, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.