Randall Clay Cannon, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT011885 Issued in GA

Practice address

3708 Northside Dr
Macon, GA 31210-2404

Phone

(478) 745-4206

Fax

(478) 832-6506

NPI assigned

Jun 30, 2016

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Macon Orthopaedic and Hand Center, PAGroup PAC ID 7911994835, 87 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randall.cannon.1@321.direct.athenahealth.com

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.

• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190
  Medicare reassignment Care Compare group NPD
• Macon Orthopaedic & Hand Center, PA

  dba OrthoGeorgia

  • Orthopaedic Surgery Physician
  • Macon, GA
  • NPI 1356489850

  Orthopedic

  Medicare reassignment Care Compare group NPD (past)
• Houston Orthopedic Surgery & Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Warner Robins, GA
  • NPI 1205866605
  Medicare reassignment NPD
• Houston Orthopedic Surgery & Sports Medicine, P.C.

  dba Middle Georgia Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Perry, GA
  • NPI 1134563042
  NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1790136836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206",
            "fax_number": "478-254-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206",
            "fax_number": "478-832-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "RANDALL",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenda Faye Canady, RN
• Krystal E Canady, F.N.P
• Candler Road Dental, PC (Franklin Dental & Braces)
• Christopher Douglas Canicatti, PT
• Jennifer Rena Cannon, P.A.-C
• Brandon Cantrell, PA
• Cencereitte Canty-Jackson, FNP-C
• Capital Anesthesia Associates, LLC
• Shelby Laray Caprara
• Laura Julie Caraway, AGACNP

• Orthopedic Physical Therapist in Macon, GA
• Providers in Macon, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.