CANNON PLASTIC & RECONSTRUCTIVE SURGERY PC
NPI 1093079402
Plastic Surgery in Savannah, GA

Active since June 29, 2012
5205 FREDERICK ST, SAVANNAH, GA 31405(912) 354-7044(912) 355-3066 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cannon Plastic & Reconstructive Surgery Pc NPPES

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

CANNON PLASTIC & RECONSTRUCTIVE SURGERY PC (NPI 1093079402) is a healthcare organization registered as a plastic surgery in Savannah, Georgia and active in the NPI registry since June 2012. The organization lists Clifton L Cannon, President, as its authorized official.

NPPES Registry Identity

NPI1093079402
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCANNON PLASTIC & RECONSTRUCTIVE SURGERY PC
Location Address5205 FREDERICK STSavannah, GA 31405-4501
Mailing AddressPo Box 15878Savannah, GA 31416-2578 · (912) 354-7044 · Fax (912) 355-3066
Fax(912) 355-3066
Organization SubpartNo
Authorized OfficialClifton L CannonPresident · (912) 354-7044
Enumeration DateJune 29, 2012
Last NPPES UpdateNovember 19, 2012
NPI 1093079402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5205 FREDERICK ST, Savannah, GA 31405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Plastic Surgery
5205 FREDERICK ST
SAVANNAH, GA 31405
Plastic Surgery
5205 FREDERICK ST, STE A
SAVANNAH, GA 31405

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 Cannon Plastic & Reconstructive Surgery PC's NPI number?

The NPI number for Cannon Plastic & Reconstructive Surgery PC is 1093079402. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Cannon Plastic & Reconstructive Surgery PC located?

Cannon Plastic & Reconstructive Surgery PC is located at 5205 Frederick St, Savannah, GA 31405. The listed phone number is (912) 354-7044.

What is Cannon Plastic & Reconstructive Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Cannon Plastic & Reconstructive Surgery PC was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.