MICHAEL L CANNON (NPI# 1861952251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861952251 |
| Entity Type | Individual |
| Full Name | MICHAEL L CANNON |
| Practice Address |
5206 Walnut Ct Lithonia GA 30038-4873 |
| Practice Telephone | 6784817808 |
| Mailing Telephone | 6784817808 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0578 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902223118 | Michael David Cannon | Psychiatry & Neurology | 6535 N Charles St Ste 300, Baltimore, MD 21204-5824 | 2014-03-25 |
| 1477863504 | Michael Dee Cannon | Psychologist | 9629 Highway 270, Pine Bluff, AR 71602-9493 | 2010-10-07 |
| 1205047594 | Michael T Cannon | Psychiatry & Neurology | 4721 Reading Road, Cincinnati, OH 45237 | 2007-05-25 |
| 1033131495 | Michael J Cannon | Obstetrics & Gynecology | 801 Pole Line Rd W Ste 3880, Twin Falls, ID 83301-5811 | 2006-07-24 |
| 1124080106 | Michael Todd Cannon | Emergency Medicine | 11820 N 177th East Ave, Collinsville, OK 74021-5149 | 2006-04-05 |
| 1811596232 | Michael Kollin Cannon | Physical Therapist | 5107 Beatline Rd Ste 300, Long Beach, MS 39560-3874 | 2020-10-19 |
| 1154823441 | Michael Cannon | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| 1487036786 | Michael Cannon | Physical Therapist | 11219 Potranco Rd, Building A Suite 110, San Antonio, TX 78253-5848 | 2015-06-23 |
| 1922494673 | Michael Cannon | Podiatrist | 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | 2015-04-09 |
| 1154348761 | Michael E Cannon | Family Medicine | 3009 N Ballas Rd, Suite 100b, Saint Louis, MO 63131-2322 | 2006-07-17 |
| Street Address |
5206 WALNUT CT |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-4873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194476 | Life Changing Missions LLC | Counselor | 1232 Old Greystone Dr, Lithonia, GA 30058-2955 | 2020-05-03 |
| 1255713764 | New Horizon Recovery Center | Counselor | 1753 Stephenson Rd, Lithonia, GA 30058-5940 | 2015-06-19 |
| 1134404361 | Larry Owens | Counselor | 93 Willowick Dr, Lithonia, GA 30038-1700 | 2011-10-19 |
| 1669605127 | The Family Center of Georgia, Inc. | Counselor | 2520 Hollingsworth St, Lithonia, GA 30058-4424 | 2009-09-01 |
| 1790963023 | Janice Marie Cooks | Counselor | 5987 Pattillo Ln, Lithonia, GA 30058-6295 | 2008-02-08 |
| 1063539476 | Sheila J Campbell | Counselor | 5303 Shirewick Dr, Lithonia, GA 30058-3860 | 2007-03-23 |
| 1689286130 | Radandel Community Counseling Services | Counselor | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2020-08-17 |
| 1255846077 | Vaughn Gay | Counselor | 3247 Rockview Dr, Lithonia, GA 30038-3032 | 2017-12-04 |
| 1891102935 | Misty Williams | Counselor | 6886 Main St, Lithonia, GA 30058-4508 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.