| Cannon Chiropractic, Pllc | |
|
81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 | |
| (901) 840-2234 | |
| (901) 840-2237 |
| Full Name | Cannon Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 81 Atoka Mclaughlin, Atoka, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770755134 | NPI | - | NPPES |
| 1770755134 | Other | TN | FACILITY NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC0000001905 (Tennessee) | Primary |
| Provider Name | Jayson Cannon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598763278 PECOS PAC ID: 2062591829 Enrollment ID: I20080505000505 |
| Provider Name | Andrea M Jossell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336684083 PECOS PAC ID: 4981978871 Enrollment ID: I20170915000712 |
| Provider Name | Lauren Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013668912 PECOS PAC ID: 5395139570 Enrollment ID: I20220304000207 |
| Provider Name | Tyler Ridley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437730157 PECOS PAC ID: 4688061351 Enrollment ID: I20220427001726 |
| Provider Name | Amber Williams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740006154 PECOS PAC ID: 2365967635 Enrollment ID: I20250418001355 |
| Provider Name | James Lowry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265255715 PECOS PAC ID: 5294251369 Enrollment ID: I20250501001578 |
| Mailing Address | Practice Location Address |
|---|---|
| Cannon Chiropractic, Pllc 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 Ph: (901) 840-2234 | Cannon Chiropractic, Pllc 81 Atoka Mclaughlin, Suite B, Atoka, TN 38004 Ph: (901) 840-2234 |
Dana Poisal, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 Phone: 901-837-9320 Fax: 901-837-9321 | |
Samuel E Poisal Iv, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 60 Commercial Dr, Atoka Chiropractic Clinic, Atoka, TN 38004 Phone: 901-837-9320 Fax: 901-837-9321 |