Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tim B Gannon, P.A.

Q: What is the NPI number for Tim Gannon?

The National Provider Identifier (NPI) for Tim Gannon is 1780992024, a Type 1 (individual) record in the CMS NPPES registry.

Medical Physician Assistant in Santa Fe, NM · enumerated 2010 · practices at Southwest Care Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780992024

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Registry record

Entity type Individual (Type 1)

Name Tim B Gannon

Credential P.A.

Sex Male

Practice address 649 Harkle Rd Ste E, Santa Fe, NM, 87505

Phone (505) 955-9454

Fax (505) 216-9067

Enumeration date Sep 21, 2010

Last updated in NPPES Mar 26, 2026

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2010-0058 (NM) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
25773119	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Tim Gannon?

The National Provider Identifier (NPI) for Tim Gannon is 1780992024, a Type 1 (individual) record in the CMS NPPES registry.

Where does Tim Gannon practice?

The practice location on file with NPPES is in Santa Fe, NM. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Michael Palestine Infectious Disease Physician · Santa Fe, NM NPI 1811935208 Trevor Hawkins Specialist · Santa Fe, NM NPI 1720093677 Southwest Care Center Federally Qualified Health Center (FQHC) · Santa Fe, NM NPI 1871602698 Linda Gorgos Internal Medicine Physician · Santa Fe, NM NPI 1124138540 Paula Broderick Pharmacotherapy Pharmacist · Santa Fe, NM NPI 1558581009 Joanna Toews Internal Medicine Physician · Santa Fe, NM NPI 1760619001 Eric Young Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Santa Fe, NM NPI 1477824761 Oluyomi Obafemi Public Health & General Preventive Medicine Physician · Santa Fe, NM NPI 1003174384

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-26.