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Gannon Tissot, PA
NPI 1417813692 · Physician Assistant · Columbia, TN
Gannon Tissot, PA is a Physician Assistant provider in Columbia, TN (NPI 1417813692).
Provider details
- NPI number
- 1417813692
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone: (931) 381-2663
Street-level locationGet directions
Mailing address
Po Box 306556
Nashville, TN 37230-6556
Registry dates
- Enumerated
- 2025-12-31
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Frequently asked questions
- What is Gannon Tissot's NPI number?
- Gannon Tissot's National Provider Identifier (NPI) is 1417813692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gannon Tissot's specialty?
- Gannon Tissot is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gannon Tissot located?
- Gannon Tissot's practice location on file with NPPES is 1050 N James M Campbell Blvd Ste 200, Columbia, TN 38401-2754.
- What is Gannon Tissot's phone number?
- The practice phone number listed in the NPPES registry for Gannon Tissot is (931) 381-2663.
- Is Gannon Tissot's NPI active?
- Yes — Gannon Tissot's NPI (1417813692) is active in the NPPES registry as of the last update on 2025-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.