Individual provider Active NPI

Lisa Kaye Cannada, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1205895513
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2020-00453 Issued in NC
Practice address
1918 Randolph Rd Ste 130
Charlotte, NC 28207-1107
Phone
(704) 316-6005
Fax
(704) 316-6006
NPI assigned
Mar 23, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 2008025528 MO
Orthopaedic Trauma Physician 207XX0801X M1558 TX
Orthopaedic Surgery Physician 207X00000X 2020-00453 NC Primary

Addresses

Primary practice location

1918 Randolph Rd Ste 130
Charlotte, NC 28207-1107

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

449 N Wendover Rd Ste A
Charlotte, NC 28211-1064
Phone (704) 316-6005

Other practice location 2

2826 Randolph Rd
Charlotte, NC 28211-1386
Phone (704) 358-0308

Other identifiers 2

IdentifierTypeStateIssuer
174517601MedicaidTX
1205895513MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcannada778272@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180912000599 FL Practitioner - Orthopedic Surgery 0042240749 Reassigns benefits to 2 organizations
I20200409000057 NC Practitioner - Orthopedic Surgery 0042240749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians

Practice addresses (Care Compare)

19485 Old Jetton Rd
Suite 210
Cornelius, NC 28031-6592
Phone (704) 316-1830

2826 Randolph Rd
Charlotte, NC 28211-1386
Phone (704) 358-0308

449 W 23Rd St
Panama City, FL 32405-4507
Phone (706) 324-6661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00453NCMDOrthopaedic Surgery Physician
M1558TXMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Orthopaedic Surgery Current Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Hughston Clinic Southeast PC Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Orthopaedic Surgery CurrentSince Aug 6, 2018 Accepting new patients
Hughston Clinic Southeast PC CurrentSince Sep 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

10905 Providence Rd W
Ste 270
Charlotte, NC 28277
Phone (704) 316-3410

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

2826 Randolph Rd
Charlotte, NC 28211
Phone (704) 358-0308

449 N Wendover Rd
#A
Charlotte, NC 28211
Phone (704) 316-6005

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

19485 Old Jetton Rd
Ste 210
Cornelius, NC 28031
Phone (704) 316-1830

10030 Gilead Rd
Ste 140
Huntersville, NC 28078
Phone (704) 316-1265

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

1401 Matthews Township Pkwy
Ste 210
Matthews, NC 28105
Phone (704) 358-0308

1450 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 246-1846

1910 Jake Alexander Blvd W
Ste 202
Salisbury, NC 28147
Phone (704) 216-5633

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: lcannada69986@directc.mercy.net
  • Direct secure messaging: lcannada778272@direct.novanthealth.org
  • Direct secure messaging: lisa.cannada.1@321.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1205895513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071107",
            "telephone_number": "704-316-6005",
            "fax_number": "704-316-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 N Wendover Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111064",
            "country_code": "US",
            "telephone_number": "704-316-6005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2826 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111386",
            "country_code": "US",
            "telephone_number": "704-358-0308",
            "fax_number": "704-358-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNADA",
        "first_name": "LISA",
        "middle_name": "KAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MO",
            "license": "2008025528",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "M1558",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-00453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174517601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205895513",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcannada778272@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2826 Randolph Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.