Doctor profile · Federal record
Dr. Jackson Gannon, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Omaha, NE
- NPI 1790357358
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8200 Dodge St
Omaha, NE 681144113
(402) 955-8600
fax (402) 955-5905 - Mailing address
-
Po Box 24607
Omaha, NE 681240607
Credentials & registration
- NPI registered
- July 2021 — 5 yrs on file
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Nebraska #2632
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790357358. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$387
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 2 | $184.16 | |
| Stryker Corporation | 1 | $162.56 | |
| Irras USA, INC. | 1 | $24.51 | |
| Integra LifeSciences Corporation | 1 | $15.70 |
By nature of payment
Frequently asked questions
What is Dr. Jackson Gannon's medical specialty?
Dr. Jackson Gannon practices Surgical Physician Assistant in Omaha, NE.
Where does Dr. Jackson Gannon practice?
Dr. Jackson Gannon practices at 8200 Dodge St, Omaha, NE 681144113. Office phone: 4029558600.
What is Dr. Jackson Gannon's NPI?
Dr. Jackson Gannon's National Provider Identifier (NPI) is 1790357358, issued by NPPES.
Does Dr. Jackson Gannon accept Medicare assignment?
Yes. Dr. Jackson Gannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.