| Dr Robert A Gannaway, MD | |
|
408 E Railroad Ave, Suite B, Crystal Springs, MS 39059-2520 | |
| (601) 892-7860 | |
| (601) 892-7861 |
| Full Name | Dr Robert A Gannaway |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 408 E Railroad Ave, Crystal Springs, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649227745 | NPI | - | NPPES |
| 01529794 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12331 (Mississippi) | Primary |
| Entity Name | South Sunflower County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
| Entity Name | Noxubee General Critical Access Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477793305 PECOS PAC ID: 9335130798 Enrollment ID: O20040524000515 |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Entity Name | Dobbs Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205499639 PECOS PAC ID: 2860723731 Enrollment ID: O20191007002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert A Gannaway, MD 408 E Railroad Ave, Suite B, Crystal Springs, MS 39059-2520 Ph: (601) 892-7860 | Dr Robert A Gannaway, MD 408 E Railroad Ave, Suite B, Crystal Springs, MS 39059-2520 Ph: (601) 892-7860 |
Dr. James Wilfred Ervin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 W Railroad Ave S, Crystal Springs, MS 39059 Phone: 601-892-3063 Fax: 601-892-3570 |