Ericia Latrice Cannon (NPI# 1013473891, PAC ID# 1153661459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013473891 |
| PAC ID by PECOS | 1153661459 |
| Professional Enrollment ID | I20190325000935 |
| Full Name | Ericia Latrice Cannon |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
145 Raymond Rd Jackson MS 39204-3802 |
| Phone Number | 6013721800 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251327 | COPIAH COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 145 Raymond Rd, Jackson, MS 39204-3802 | 6013721800 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 3502 W Northside Dr, Jackson, MS 39213-4454 | 6013625321 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Samuel F Brown | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
145 RAYMOND RD |
| City | JACKSON |
| State | MS |
| Zip | 39204-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Smith | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edith F Smith Rayford | Obstetrics/gynecology | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Robert Smith | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Tamara C Winfield | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Edgar Miller | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Eurekia D Samuel | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Obie M Mcnair | Internal Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Myra A Wheaton | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Denetta D Ross | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Ruth A Walker | Clinical Social Worker | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Marcia J Hays | Registered Dietitian Or Nutrition Professional | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Find all physicians in zip 39204 | |||
| City | JACKSON |
| Zip Code | 39204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ericia Latrice Cannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.