JAN GANANN (NPI# 1518297191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518297191 |
| Entity Type | Individual |
| Full Name | JAN GANANN |
| Credential | PHD |
| Practice Address |
100 Old Sturgis Rd Ackerman MS 39735-6600 |
| Mailing Address |
302 N Jackson St Starkville MS 39759-2504 |
| Practice Telephone | 6622856225 |
| Practice Fax Number | 6622856226 |
| Mailing Telephone | 6623239261 |
| Mailing Fax Number | 6623249647 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
104343 | MS | Behavioral Health & Social Service Providers |
| Street Address |
100 OLD STURGIS RD |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1063974137 | Reshundra Shaffer | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2019-04-05 |
| 1205325545 | Jeannette Ivy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-05-02 |
| 1033615174 | Sharon Olive | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2018-04-05 |
| 1760807663 | Sarah Irvin | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2014-02-28 |
| 1508167420 | Reginald Gandy | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-11-09 |
| 1194050161 | Andrew Levine | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2009-10-08 |
| 1174765481 | Sandra F Black | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1639224231 | John David Mitchell Jr. | Dentist | 1171 West Main Street, Ackerman, MS 39735 | 2007-01-24 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| 1922115401 | Angela Ann Hays | Nurse Practitioner | 148 W. Cherry St., Ackerman, MS 39735 | 2006-08-23 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921098 | Betty Swain Weiss | Psychologist | 1220 Speaks Rd, Terry, MS 39170-7116 | 2020-08-04 |
| 1467948091 | L & A Services | Psychologist | 1300 S Davis Ave, Cleveland, MS 38732-4312 | 2018-07-06 |
| 1063795870 | Will's Way, LLC | Psychologist | 604 Adeline St, Suite B, Hattiesburg, MS 39401-3842 | 2011-09-28 |
| 1669655163 | Aimee M Wilson | Psychologist | 4061 Suzanne Dr, Suite C & C, Diberville, MS 39540-3735 | 2007-12-07 |
| 1932470515 | Heidi L Vine | Psychologist | 1701 White St, Mccomb, MS 39648-2711 | 2012-01-13 |
| 1730478306 | Deborah Fetter Nastasi | Psychologist | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2011-04-04 |
Please comment or provide details below to improve the information on JAN GANANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.