Individual provider Active NPI

Victoria Augusta Cannon, M.D.

  • Neurology Physician
  • Miami Beach, FL
National Provider Identifier
1124412085
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0067131 Issued in CO
Practice address
5101 Collins Ave Apt 14N
Miami Beach, FL 33140-2727
Phone
(800) 348-4565
Fax
(888) 203-4247
NPI assigned
Mar 27, 2015
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2021047367 MO
Neurology Physician 2084N0400X MD2023-1516 NM
Neurology Physician 2084N0400X ME176665 FL
Neurology Physician 2084N0400X A162676 CA
Neurology Physician 2084N0400X DR.0067131 CO Primary

Addresses

Primary practice location

5101 Collins Ave Apt 14N
Miami Beach, FL 33140-2727

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (800) 348-4565

Other practice location 1

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.cannon@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, MO, MN, FL5 enrollments
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.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200519000568 CA Practitioner - Neurology 4284940578 Reassigns benefits to 6 organizations
I20230822000564 CO Practitioner - NeurologyPractitioner - Psychiatry 4284940578 Reassigns benefits to 2 organizations
I20231031002362 MO Practitioner - Neurology 4284940578 Reassigns benefits to 1 organization
I20240216003745 MN Practitioner - Neurology 4284940578 Reassigns benefits to 1 organization
I20251020002367 FL Practitioner - Neurology 4284940578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remote Neuromonitoring Physicians PCGroup PAC ID 1355495961, 36 clinicians
Sentient Physicians, P.C.Group PAC ID 2668764333, 37 clinicians

Practice addresses (Care Compare)

5101 Collins Ave
Apt 14N
Miami Beach, FL 33140-2727
Phone (800) 348-4565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162676CAMDNeurology Physician
ME176665FLMDNeurology Physician
MD2023-1516NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
County of Santa Clara CurrentSince Feb 13, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Remote Neuromonitoring Physicians ,PC Neurology CurrentSince Sep 1, 2023 Accepting new patients
Sentient Physicians, P.C. Neurology CurrentSince Sep 1, 2023 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Feb 1, 2024 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
Valley View Hospital Association CurrentSince Nov 18, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 1, 2023 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Saint Francis Medical Center CurrentSince Oct 30, 2023 Accepting new patients
County of Santa Clara CurrentSince Feb 13, 2024 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Feb 1, 2024 Accepting new patients
County of Santa Clara CurrentSince Feb 13, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 1, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
Valley View Hospital Association Neurology Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
County of Santa Clara CurrentSince Feb 13, 2024 Accepting new patients
Valley View Hospital Association Neurology CurrentSince Nov 18, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
Saint Francis Medical Center CurrentSince Oct 30, 2023 Accepting new patients
Verdugo Hills Pharmacy Inc Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1520 San Pablo St
Ste 3000
Los Angeles, CA 90033
Phone (323) 442-5728

1520 San Pablo St
Ste 3800
Los Angeles, CA 90033
Phone (323) 442-5720

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3 Maryland Farms
Ste 200
Brentwood, TN 37027
Phone (615) 346-8733

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vcannon1050621@direct.unitypoint.org
  • Direct secure messaging: vcannon293774@direct.dhha.org
  • Direct secure messaging: vcannon357330@direct.seattlechildrens.org
  • Direct secure messaging: vcannon720066@hisp.ehr.sutterhealth.org
  • Direct secure messaging: vcannon819743@direct.shands.ufl.edu
  • Direct secure messaging: vcannon957985@direct.froedtert.com
  • Direct secure messaging: victoria.cannon@direct.usc.edu

Organizations & group practices 25

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

View all 25

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1124412085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275780",
            "telephone_number": "800-348-4565",
            "fax_number": "888-203-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COLLINS AVE APT 14N",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402727",
            "telephone_number": "800-348-4565",
            "fax_number": "888-203-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "VICTORIA",
        "middle_name": "AUGUSTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2021047367",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2023-1516",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME176665",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A162676",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0067131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.cannon@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 San Pablo St Ste 3000",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.