DR. ROAN SUMNER GANNON (M.D.) – Family Medicine Physician, NPI 1548529902

DR. ROAN SUMNER GANNON (M.D.) is a healthcare provider. based in Albertville, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 33074 (AL). The NPI Number for DR. ROAN SUMNER GANNON (M.D.) is 1548529902

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROAN SUMNER GANNON (M.D.)
NPI
1548529902
Phone
(256) 878-8180
Address
5104 US HIGHWAY 431
Enumeration Date
4 May 2012
Last Update Date
23 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2568788184
Graduation Year
2012 (14 years ago)
PAC ID
9537472774
Group Practice PAC ID
7517980493
Professional Enrollment ID
I20150717000724
Address ID
AL359500237AL5104X431X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for DR. ROAN SUMNER GANNON (M.D.)

  • 5104 US HIGHWAY 431

    ALBERTVILLE, AL 359500237

    Phone: (256) 878-8180

    Fax: (256) 891-3693

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 314 Open Payments records for all available years, with a total value of $5,025.

Total Amount is formed as General ($5,025) + Research ($0) + Ownership ($0) = $5,025.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($803).

Total Amount

$5,025

General + Research + Ownership

Payments

314

Total payment records

General Amount

$5,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150717000724IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes779342$0
J1100Injection, dexamethasone sodium phosphate, 1 mg21848$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit161161$0
99213Established patient office or other outpatient visit, 20-29 minutes12874$0
G0008Administration of influenza virus vaccine8888$0
View full utilization report →

Insurance plans in this area (ZIP 35950)

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Provider's Procedures

DR. ROAN SUMNER GANNON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAL20610Aspiration and/or injection of large joint or joint capsule1616
FAMILY MEDICINEAL83036Hemoglobin A1C level5644
FAMILY MEDICINEAL85610Blood test, clotting time8918

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517980493View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is DR. ROAN SUMNER GANNON (M.D.) listed with a National Provider Identifier?
Yes — DR. ROAN SUMNER GANNON (M.D.) has NPI 1548529902 on file in the registry.
Would DR. ROAN SUMNER GANNON (M.D.) appear as active to a payer?
You can treat DR. ROAN SUMNER GANNON (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ROAN SUMNER GANNON (M.D.)'s focus?
For DR. ROAN SUMNER GANNON (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ROAN SUMNER GANNON (M.D.)?
Travel planning: use Albertville, Alabama as the reference point for DR. ROAN SUMNER GANNON (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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