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DR. BRETT H CANNON MD NPI 1124132386


NPI Information

NPI: 1124132386
Provider Name: DR. BRETT H CANNON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8954 HOSPITAL DR
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 920-6420
Get Directions

DR. Brett H Cannon, MD is an emergency medicine in Douglasville, GA with 27 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Brett H Cannon, MD NPI is 1124132386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

8954 HOSPITAL DR
DOUGLASVILLE, GA
ZIP 30134-272
Phone: (770) 920-6420

The NPI 1124132386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 12/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD.25283ALABAMANo
2207P00000XEmergency Medicine0101236067VIRGINIANo
3207P00000XEmergency Medicine200301097NORTH CAROLINANo
4207P00000XEmergency Medicine15230RLOUISIANANo
5207P00000XEmergency Medicine046053GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17559160OTHERALABAMAAETNA
2H14388MEDICARE UPINGEORGIA
300866115JMEDICAIDGEORGIA
400866115KMEDICAIDGEORGIA
593BDNZHMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE COBB
600866115IMEDICAIDGEORGIA
793BDNZJMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE PAULDING
893BDNZGMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE KENNESTON
900866115LMEDICAIDGEORGIA
1093BDNZKMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE DOUGLAS
11051559698MEDICAIDALABAMA
12051542477OTHERALABAMABCBS
13051559698MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.