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

Gannon Tissot, PA

Individual provider Physician Assistant · NPI 1417813692

Gannon Tissot, PA is a Physician Assistant in Columbia, Tennessee. Qualified in 2025, 1 year ago. Practices with Tennessee Orthopaedic Alliance PA, a 358-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone: (931) 381-2663
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)

Record details

NPI number1417813692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tennessee Orthopaedic Alliance Pa — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia