Doctor profile · Federal record
Dr. Nicole Gannon, PA-C
Physician Assistant · Independent Medical Examiner Physician · Jacksonville, FL
- NPI 1467881615
- Accepts Medicare
- MIPS 76.2 / 100 · 2023
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4500 San Pablo RD S
Jacksonville, FL 322241865
(904) 953-2000
Credentials & registration
- NPI registered
- November 2013 — 13 yrs on file
- Profile last updated
- January 22, 2021
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PA9107493
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467881615. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$268
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Jazz Pharmaceuticals INC. | 1 | $122.55 | |
| Novartis Pharmaceuticals Corporation | 1 | $118.32 | |
| Sanofi-Aventis U.S. LLC | 1 | $27.62 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Nicole Gannon's medical specialty?
Dr. Nicole Gannon practices Physician Assistant in Jacksonville, FL.
Where does Dr. Nicole Gannon practice?
Dr. Nicole Gannon practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Nicole Gannon's NPI?
Dr. Nicole Gannon's National Provider Identifier (NPI) is 1467881615, issued by NPPES.
Does Dr. Nicole Gannon accept Medicare assignment?
Yes. Dr. Nicole Gannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.