Melissa Cannon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

001926 Issued in GA

Practice address

5805 State Bridge Rd Ste G321
Duluth, GA 30097-8220

Phone

(770) 713-3728

NPI assigned

Apr 14, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1831332378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HAMPTON CREEK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414032",
            "telephone_number": "404-966-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 STATE BRIDGE RD STE G321",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978220",
            "telephone_number": "770-713-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtrina Monique Campbell
• Jaronda Shanasha Campbell
• Julia Y Campbell, MD
• Randall L Campbell, DDS
• Martha Christine Cannon-Medcalf, M.ED, CCC
• David S. Cantor, PH.D.
• Regina Canty, NP
• Xuan Cao, M.D.
• Logan Meredith Caplan, MD
• Andrea Deri Capps May, OD

• Occupational Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.