Stephanie Cannon, APRN - Medicare Nurse Practitioner in Woodbury, GA

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Stephanie Cannon, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Woodbury, Georgia. Her current practice location is 64a Jones Mill Rd, Woodbury, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 553-5367.

Stephanie Cannon is licensed to practice in Georgia (license number RN249067) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710632302.

Contact Information

Stephanie Cannon, APRN
64a Jones Mill Rd,
Woodbury, GA 30293-2678
(706) 553-5367
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Cannon
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location64a Jones Mill Rd, Woodbury, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710632302
  • Provider Enumeration Date: 02/13/2022
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557729589
  • Enrollment ID: I20230622002421

Medical Identifiers

Medical identifiers for Stephanie Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710632302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN249067 (Georgia)Secondary
363LP2300XNurse Practitioner - Primary Care RN249067 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN249067 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Cannon allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983
Entity NameMeriwether Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912564618
PECOS PAC ID: 1850430679
Enrollment ID: O20190821001849

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Cannon, APRN
1981 Hendricks Church Rd,
Thomaston, GA 30286-2047

Ph: () -		Stephanie Cannon, APRN
64a Jones Mill Rd,
Woodbury, GA 30293-2678

Ph: (706) 553-5367

Reviews and Comments


Nurse Practitioner Nurses in Woodbury, GA

Timothy Peter Daniel, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 64a Jones Mill Rd, Woodbury, GA 30293
Phone: 706-553-5367    Fax: 705-553-5370
Timothy Joseph Gravel, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 64a Jones Mill Rd, Woodbury, GA 30293
Phone: 706-553-5367    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.