Individual provider Active NPI

Sarah Cannon, PA

  • Physician Assistant
  • King of Prussia, PA
National Provider Identifier
1336019215
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067199 Issued in PA
Practice address
107 Town Center Rd
King of Prussia, PA 19406-2330
Phone
(609) 900-3310
Fax
(609) 900-3310
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA067199 PA
Physician Assistant 363A00000X MA067199 PA Primary

Addresses

Primary practice location

107 Town Center Rd
King of Prussia, PA 19406-2330

Mailing address

107 Town Center Rd
King of Prussia, PA 19406-2330
Phone (609) 900-3310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251125003554 PA Practitioner - Physician Assistant 4981196037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Carnegie Ctr
Suite 150
Princeton, NJ 08540-6586

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067199PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Live Family Care PLLC Family Medicine CurrentSince Nov 14, 2025 Accepting new patients

Locations

107 Town Center Rd
Kng of Prussa, PA 19406
Phone (484) 750-5212

41 University Dr
Ste 400
Newtown, PA 18940
Phone (215) 375-7993

Interoperability endpoints

  • Direct secure messaging: sarah.cannon.1@23060.direct.athenahealth.com

Organizations & group practices 1

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": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1336019215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TOWN CENTER RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062330",
            "telephone_number": "609-900-3310",
            "fax_number": "609-900-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TOWN CENTER RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062330",
            "telephone_number": "609-900-3310",
            "fax_number": "609-900-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA067199",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.