Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariah Stacy Gann, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851077408

Mariah Stacy Gann, PA-C is a Physician Assistant in Columbia, Missouri. Graduated from University of Nebraska College of Medicine in 2024, 2 years ago. Practices with Jefferson City Medical Group PC, a 117-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Nebraska College of Medicine
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 N Keene St Ste 301
Columbia, MO 65201-8106
Phone: (573) 449-2141
Fax: (573) 556-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851077408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Jefferson City Medical Group Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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