J.J. Cannon M.D. P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD10330 Issued in TN

Legal business name

J.J. CANNON M.D. P.C.

Doing business as

Dr. Jesse Cannon Jr.

Practice address

7615 Highway 51 S Ste 106
Brighton, TN 38011-7043

Phone

(901) 837-7568

Fax

(901) 837-7532

NPI assigned

Oct 15, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse J Cannon Jr., M.D

Title

Owner

Phone

(901) 837-7568

Specialties & licenses 1

Addresses

Other names 1

• DR. JESSE CANNON JR. Doing business as

Locations

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1285823393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 HIGHWAY 51 S STE 106",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380117043",
            "telephone_number": "901-837-7568",
            "fax_number": "901-837-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 HIGHWAY 51 S STE 106",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380117043",
            "telephone_number": "901-837-7568",
            "fax_number": "901-837-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.J. CANNON M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-837-7568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. JESSE CANNON JR.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda M Holder, FNP-C
• Anita Holmes, LCSW
• Kaitlin Adell Homler, MA, BCBA
• Anna McKenzie Howard, APN
• John Raymond Hughey, MD
• Delma Jaroszewicz
• Michael Dalen Jaureque
• Laura Elaine Jeffords
• Ashley L Jenkins, PMHNP-BC
• Johnson Clinic of Covington, Inc

• Internal Medicine Physician in Brighton, TN
• Providers in Brighton, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.