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ROBERT M CANNON MD LLC
NPI 1174067250
Clinic/Center - Primary Care in Vicksburg, MS

Active since December 08, 2016
1901 MISSION 66, VICKSBURG, MS 39180(601) 636-0097(601) 629-9969 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert M Cannon Md Llc NPPES

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

ROBERT M CANNON MD LLC (NPI 1174067250) is a healthcare organization registered as a primary care in Vicksburg, Mississippi and active in the NPI registry since December 2016. The organization lists Robert Cannon, Md, as its authorized official.

NPPES Registry Identity

NPI1174067250
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROBERT M CANNON MD LLC
Location Address1901 MISSION 66Vicksburg, MS 39180-3711
Mailing Address1901 Mission 66Vicksburg, MS 39180-3711 · (601) 636-0097 · Fax (601) 629-9969
Phone(601) 636-0097
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialRobert CannonMd · (601) 636-0097
Enumeration DateDecember 8, 2016
✔ NPI 1174067250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1901 MISSION 66, Vicksburg, MS 39180
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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.

GOOD SAMARITAN PHYSICAL THERAPY,INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076
DR. ROBERT C MASTERSON DO
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-8244
CARLOS ALBERTO LATORRE M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
FLOWERS MEDICAL GROUP LLC
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
JOHN R BARNES MD
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
DR. ROBERT MICHAEL CANNON M.D.
Family Medicine
1901 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 636-0097
HOLLY PITTMAN OT
Occupational Therapist
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076
THERESA SHELLY KING RCP
Respiratory Therapist, Certified (General Care)
1901 MISSION 66, SUITE A
VICKSBURG, MS 39180
Warren County (601) 638-4076

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 Robert M Cannon MD LLC's NPI number?

The NPI number for Robert M Cannon MD LLC is 1174067250. It was assigned to this organization in the NPPES registry on December 8, 2016.

Where is Robert M Cannon MD LLC located?

Robert M Cannon MD LLC is located at 1901 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 636-0097.

What is Robert M Cannon MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Robert M Cannon MD LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Robert M Cannon MD LLC 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.

When was this NPI record last updated?

The NPPES record for Robert M Cannon MD LLC was last updated on December 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.