Sheila Sheftall Cannon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

032528A Issued in GA

Practice address

14 Eastbrook Bend
Ste 109
Peachtree City, GA 30269

Phone

(678) 364-0888

Fax

(678) 364-9958

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sheila.cannon@mgi.eclinicaldirectplus.com
• Direct secure messaging: sheila.cannon.1@9864.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlanta Area Psychological Associates, P.C.

  • Psychologist
  • Marietta, GA
  • NPI 1720131253
  NPD (past)
• Medlink Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1992447247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043385602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ENON PINES DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-277-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 EASTBROOK BEND",
            "address_2": "STE 109",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "678-364-0888",
            "fax_number": "678-364-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SHEILA",
        "middle_name": "SHEFTALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "032528A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005090445",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandi Rae Call, CPM
• Daniel John Callahan, PA-C
• Janice L Calzolari, LPC
• Camber Dougher, LCSW
• Pamela Juliet Campbell, BA, IBCLC
• Michelene Cappas, PT
• Rebecca Christon Cardell, OTR/L
• Karen Carpenter, LMT
• Tandraya Carpenter
• Ginger Carraher

• Psychiatry Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.