Thomas Milton Gannon, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1785 Issued in VA

Practice address

404 N Willow Ave
Cookeville, TN 38501

Phone

(931) 854-9393

Fax

(931) 233-2449

NPI assigned

Sep 16, 2008

Last updated

Nov 6, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, WV2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Atlas Osteopathy LLC

  • Physical Medicine & Rehabilitation Physician
  • Cookeville, TN
  • NPI 1396037339
  Authorized official Same address or phone
• Strong Health Institute

  • Chiropractor
  • Cookeville, TN
  • NPI 1194377663
  NPD
• West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic

  dba Robert C Byrd Clinic

  • Family Medicine Physician
  • Lewisburg, WV
  • NPI 1871539296
  NPD
• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1548419310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012339",
            "telephone_number": "931-854-9393",
            "fax_number": "931-233-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-854-9393",
            "fax_number": "931-233-2449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 N Willow Ave",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012354",
            "country_code": "US",
            "telephone_number": "931-854-9393",
            "fax_number": "931-854-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 N Willow Ave",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012354",
            "country_code": "US",
            "telephone_number": "931-854-9393",
            "fax_number": "931-854-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANNON",
        "first_name": "THOMAS",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509705",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Gallardo, PHD, LPC-MHSP
• Jamie Marie Galperin, D.C.
• Gina R Galvez-Filoteo, PT
• Tracy J Galyean, RD
• Vicki Gamby, SLP-CCC
• Shelly P Gardner, PT
• Scarlett Erica Garland
• Garrett Health Services, LLC
• Amy Nicole Garrett, RN
• Devon Renee Garrett

• Physical Medicine & Rehabilitation Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.