ASHLEA LAKESHA CANNON


Address: 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548
Phone: 7704601900

ASHLEA LAKESHA CANNON (NPI# 1316263494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316263494
Entity Type Individual
Full Name ASHLEA LAKESHA CANNON
Other Name ASHLEA LAKESHA BARKER
Credential PA-C
Practice Address 1265 Highway 54 W
Suite 102
Fayetteville
GA 30214-4548
Mailing Address 900 Circle 75 Pkwy Se
Suite 1700
Atlanta
GA 30339-3035
Practice Telephone 7704601900
Practice Fax Number 7707191214
Mailing Telephone 7709536929
Mailing Fax Number 7709536972
Enumeration Date 2010-04-14
Last Update Date 2014-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 005659 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 146816327C 05

Office Location

Street Address 1265 HIGHWAY 54 W
SUITE 102
City FAYETTEVILLE
State GA
Zip Code 30214-4548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053315820 John E Burney Internal Medicine 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 2005-06-09
1417314527 Amanda Murphy Specialist/Technologist 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 2016-01-20
1366854077 Kimberly Michelle Diprima Physician Assistant 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 2014-05-29
1710248901 Mandy G Osburn Physical Therapist 1265 Highway 54 W, Suite 102 & 308, Fayetteville, GA 30214-4548 2012-06-04
1104190990 Jarryd A Jackson Pharmacist 1265 Highway 54 W, Suite #201, Fayetteville, GA 30214-4548 2012-02-27
1265704860 Veketa Harris Smith Physician Assistant 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 2012-01-30
1215225560 Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered 1265 Highway 54 W, Fayetteville, GA 30214-4548 2011-07-20
1881982817 Ford H Cooper Physical Therapist 1265 Highway 54 W, Suite 308, Fayetteville, GA 30214-4548 2011-07-12
1518283308 Ameera Waseem Siddiqi Internal Medicine 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 2010-04-19
1972825990 Gweneth Malicia Francis Internal Medicine 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 2010-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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