Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roan Sumner Gannon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548529902

Dr. Roan Sumner Gannon, MD is a Family Practice in Albertville, Alabama. Graduated from University of Alabama School of Medicine in 2012, 14 years ago. Practices with Sand Mountain Family Practice Center, P. C., a 5-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
14
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2012
Specialties on file
2
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

5104 US Highway 431
Albertville, AL 35950-0237
Phone: (256) 878-8180
Fax: (256) 891-3693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 33074 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548529902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2012
Last updated in NPPESApril 23, 2015
Mailing address5104 Us Highway 431, Albertville, AL 35950-0237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Sand Mountain Family Practice Center, P. C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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