Individual provider Active NPI

Adrianna Maria Cannone, PA-C

  • Physician Assistant
  • Mount Juliet, TN
National Provider Identifier
1124733050
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5383 Issued in TN
Practice address
40 W Caldwell St Ste 100
Mt Juliet, TN 37122-3180
Phone
(615) 773-2712
Fax
(615) 773-2707
NPI assigned
Jan 16, 2023
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5383 TN Primary

Addresses

Primary practice location

40 W Caldwell St Ste 100
Mt Juliet, TN 37122-3180

Mailing address

40 W Caldwell St Ste 100
Mount Juliet, TN 37122-3180
Phone (615) 773-2712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000433 TN Practitioner - Physician Assistant 6709250582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5383TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine W. Jones, MD, PLC CurrentSince Sep 15, 2025 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

40 W Caldwell St
Ste 100
Mt Juliet, TN 37122
Phone (615) 316-0100

Interoperability endpoints

  • Direct secure messaging: adrianna.cannone.p1@direct.toa.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1124733050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 100",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223180",
            "telephone_number": "615-773-2712",
            "fax_number": "615-773-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 100",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223180",
            "telephone_number": "615-773-2712",
            "fax_number": "615-773-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNONE",
        "first_name": "ADRIANNA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.