D TIMOTHY CANNON M.D.
NPI 1033103122
Specialist in Jackson, MS

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216(601) 981-9503(601) 981-7895 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About D Timothy Cannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D TIMOTHY CANNON M.D. (NPI 1033103122) is an individual specialist in Jackson, Mississippi, licensed in Mississippi (11015) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (1991).

NPPES Registry Identity

NPI1033103122
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameD TIMOTHY CANNONCredential: M.D.
Location Address971 LAKELAND DR, SUITE 1052Jackson, MS 39216-4643
Mailing Address971 Lakeland Dr, Suite 1052Jackson, MS 39216-4643 · (601) 981-9503 · Fax (601) 981-7895
Fax(601) 981-7895
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1991
Enumeration DateSeptember 6, 2005
Last NPPES UpdateOctober 31, 2011
NPI 1033103122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 11015
Definition
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.
971 LAKELAND DR, Jackson, MS 39216

Other Identifiers 3

Medicare UPIND80590MS
Medicare ID-Type Unspecified290000030MS
Medicaid00011216MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

D Timothy Cannon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284797838
PECOS Enrollment IDI20090113000670
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,653 services370 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
759 services239 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
618 services189 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
465 services54 patients
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 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
272 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
269 services208 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 34

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers378 claims378 services$32.99 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers12 claims12 services$7.27 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
3 suppliers13 claims13 services$3.13 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
7 suppliers51 claims106 services$1.46 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier37 claims74 services$1.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers171 claims171 services$78.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Obstetrics & Gynecology (Gynecology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUIITE 202
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Audiologist
971 LAKELAND DR, SUITE 854
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 557
JACKSON, MS 39216
Internal Medicine (Endocrinology, Diabetes & Metabolism)
971 LAKELAND DR, SUITE 450
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D Cannon's NPI number?

The NPI number for D Cannon is 1033103122. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is D Cannon located?

D Cannon practices at 971 Lakeland Dr Suite 1052, Jackson, MS 39216. The listed phone number is (601) 981-9503.

What is D Cannon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is D Cannon enrolled in Medicare?

Yes. D Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does D Cannon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and UnitedHealthcare list D Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is D Cannon affiliated with any hospitals?

According to CMS data, D Cannon is affiliated with St Dominic-Jackson Memorial Hospital, King's Daughters Medical Center-Brookhaven and Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for D Cannon was last updated on October 31, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.