DR. ROBERT MICHAEL CANNON M.D. NPI 1215373139

NPI Information

  • NPI: 1215373139
  • Provider Name: DR. ROBERT MICHAEL CANNON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1901 MISSION 66
    VICKSBURG, MS
    ZIP 39180
  • Phone: (601) 636-0097

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NPI Details

DR. Robert Michael Cannon, M.D. is a family medicine in Vicksburg, MS with 14 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert Michael Cannon, M.D. NPI is 1215373139. 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:2012

The provider's business location address is:

1901 MISSION 66
VICKSBURG, MS
ZIP 39180-711
Phone: (601) 636-0097
Fax: (601) 629-9969

The NPI 1215373139 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use (HCPCS:91301)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Dihydroxyvitamin d, 1, 25 level (HCPCS:82652)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Uric acid level, blood (HCPCS:84550)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 5/18/2013 and was last updated on 4/4/2017.

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
1207Q00000XFamily Medicine23456MISSISSIPPIYes

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
155559ZYGGMEDICARE PINMISSISSIPPI

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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