Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Gannon, MD

Individual provider Psychiatry Physician · NPI 1740481431

Angela Gannon, MD is a Psychiatry Physician in Jacksonville, North Carolina. Licensed in North Carolina, New York and Ohio. Registered with an NPI since 2007.

Licensed in
NC, NY, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Tarpon Trl
Jacksonville, NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2018-00436 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 258681 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 092762 (OH)

Record details

NPI number1740481431
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESOctober 14, 2019

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