DANIEL TODD CANNON
NPI 1053194225
Physician Assistant in Canton, GA

Active since August 14, 2023PECOS Enrolled
1521 HICKORY FLAT HWY STE 200, CANTON, GA 30115(470) 297-1310 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Dec 18, 2024, Aug 14, 2023 (3 updates tracked since 2023).

About Daniel Todd Cannon NPPES

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

DANIEL TODD CANNON (NPI 1053194225) is an individual physician assistant in Canton, Georgia, licensed in Georgia (11970) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053194225
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL TODD CANNON
Location Address1521 HICKORY FLAT HWY STE 200Canton, GA 30115-3500
Mailing Address260 Rockhound DrDahlonega, GA 30533-7185 · (770) 820-3815
Sole ProprietorNo
Enumeration DateAugust 14, 2023
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1053194225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 11970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1521 HICKORY FLAT HWY STE 200, Canton, GA 30115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel Todd Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
1521 HICKORY FLAT HWY STE 200
CANTON, GA 30115
Family Medicine (Adult Medicine)
1521 HICKORY FLAT HWY STE 200
CANTON, GA 30115

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 Daniel Cannon's NPI number?

The NPI number for Daniel Cannon is 1053194225. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Daniel Cannon located?

Daniel Cannon practices at 1521 Hickory Flat Hwy Ste 200, Canton, GA 30115. The listed phone number is (470) 297-1310.

What is Daniel Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Cannon enrolled in Medicare?

Yes. Daniel Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Cannon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.