Active NPI
Anne Rankin Cannon, AUD.
- Audiologist
- Fayetteville, GA
National Provider Identifier
1225642838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1260 Highway 54 W Ste 203
Fayetteville, GA 30214-4513 - Phone
- (770) 631-1833
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1260 Highway 54 W Ste 203
Fayetteville, GA 30214-4513
Mailing address
1938 Lebanon Dr NE
Atlanta, GA 30324-4819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1225642838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 LEBANON DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 HIGHWAY 54 W STE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144513",
"telephone_number": "770-631-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "ANNE",
"middle_name": "RANKIN",
"credential": "AUD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.