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

Suzanne Renee Gannon

Individual provider Family Medicine Physician · NPI 1447911383

Suzanne Renee Gannon is a Physician Assistant in Beaufort, South Carolina. Qualified in 2023, 3 years ago. Practices with University Hospitals Urgent Care, LLC, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

955 Ribaut Rd
Beaufort, SC 29902-5454
Phone: (843) 522-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Eastland Rd, Berea, OH 44017-2005 — (440) 826-2900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008185RX (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 50.008185RX (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447911383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Hospitals Urgent Care, Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Beaufort