Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GANNON TISSOT, PA
Active Sole ProprietorGANNON TISSOT, PA is a Physician Assistant healthcare provider located in COLUMBIA, Tennessee. NPI 1417813692 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COLUMBIA, TN
Registration Details
- NPI Number
- 1417813692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2025 (0.60812834202733 yrs)
- Last Updated
- Dec 31, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1050 N JAMES M CAMPBELL BLVD STE 200COLUMBIA, TN, 384012754Browse TN providers · Browse ZIP 38401
- Phone
- 9313812663
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in COLUMBIA, TN
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL BACKUES | MSM, ATC, PA-C | 1114900131 |
| JOHN NOVAK | PA | 1306807292 |
| KATHLEEN D SHERMAN | PA-C | 1144281932 |
| JOSEPH H COOPER | PA | 1386607588 |
| THERESA ANN WALSH | PA | 1669545281 |
| MR. JUSTIN LUKE BOREN | PA | 1053468199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.