Randall Clay Cannon (NPI# 1790136836, PAC ID# 7113212630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790136836 |
| PAC ID by PECOS | 7113212630 |
| Professional Enrollment ID | I20160823002467 |
| Full Name | Randall Clay Cannon |
| Organization Legal Name | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Address |
1013 Main St Perry GA 31069-3353 |
| Phone Number | 4789534563 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092703835 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1013 Main St, Perry, GA 31069-3353 | 4789534563 | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 | 4789534563 | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Organization Legal Name | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Scott Harris | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Andrew L Ray | Physician Assistant | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Mallory Pilcher | Physical Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Keathern Scott Malone | Physical Medicine and Rehabilitation | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Daxes M Banit | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Macey Diana Elks | Nurse Practitioner | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Gregory Chiasson | Occupational Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Derrick D Phillips | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| William Baxter Wiley | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Daniel R Reidl | Physician Assistant | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Street Address |
1013 MAIN ST |
| City | PERRY |
| State | GA |
| Zip | 31069-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Scott Harris | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Macey Diana Elks | Nurse Practitioner | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Jeremy C Eaton | Physical Therapy | Elite Sport and Spine Physical Therapy, Inc. | 1013 Main St, Perry, GA 31069-3353 |
| David Huey Wiley | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Summerow | Optometry | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | |
| Erin Tapley Burch | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Judith F Donnan | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Rhonda L Thompson | Optometry | Myeyedr Optometry of Georgia, LLC | 1601 Macon Rd, Perry, GA 31069-2208 |
| Spencer D Shugart | Physical Therapy | 1202 Macon Rd, Perry, GA 31069-2613 | |
| Jackson Craig Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Shaun Nicholas Price | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Spencer Cory Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Sarvepall D Jokhai | Podiatry | Foot and Ankle Center of Middle Georgia, LLC | 1040 Morningside Dr, Perry, GA 31069-2904 |
| Jennifer L Johnson | Nurse Practitioner | N.t. Cardiovascular Center | 1117 Morningside Dr, Perry, GA 31069-2905 |
| Find all physicians in zip 31069 | |||
| City | PERRY |
| Zip Code | 31069 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PERRY + PHYSICAL THERAPY |
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| 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.