D TIMOTHY CANNON M.D. NPI 1033103122

NPI Information

  • NPI: 1033103122
  • Provider Name: D TIMOTHY CANNON, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 971 LAKELAND DR
    SUITE 1052
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 981-9503

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NPI Details

D Timothy Cannon, M.D. is a specialist in Jackson, MS with 35 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. D Timothy Cannon, M.D. NPI is 1033103122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

971 LAKELAND DR
SUITE 1052
JACKSON, MS
ZIP 39216-643
Phone: (601) 981-9503
Fax: (601) 981-7895

The NPI 1033103122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Irrigation and suction of lung airways to obtain cells using an endoscope (HCPCS:31624)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of lung airway using an endoscope (HCPCS:31622)
  • Sleep study including heart rate, breathing, and sleep time (HCPCS:95800)
  • Biopsy of lobe of lung using an endoscope, 1 lobe (HCPCS:31628)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 10/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist11015MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D80590MEDICARE UPINMISSISSIPPI
2290000030MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
300011216MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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