NPI Registry.org

Melissa Cannon

NPI Registration Record

Provider / OrganizationNPIDate Certified
MELISSA CANNON18012924122021-10-10

Melissa Cannon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801292412. Registration indicates Melissa Cannon is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameMrs. Melissa Cannon PA-C
Practice Office Address1180 RESURGENCE DR STE 100
WATKINSVILLE, GA US
Practice Office Telephone7065435858
Mailing Address1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 306777211 US
Business Telephone7065435858
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
7337
GA
OPI Codes
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