KAWANNA NICOLE CANNON
NPI 1356042279
Nurse Practitioner - Family in Montgomery, AL
About Kawanna Nicole Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAWANNA NICOLE CANNON (NPI 1356042279) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-174325) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Kawanna Nicole Cannon 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTGOMERY, AL 36107
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 Kawanna Cannon's NPI number?
The NPI number for Kawanna Cannon is 1356042279. It was assigned to this individual provider in the NPPES registry on March 16, 2023.
Where is Kawanna Cannon located?
Kawanna Cannon practices at 1845 Cherry St, Montgomery, AL 36107. The listed phone number is (334) 420-5001.
What is Kawanna Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kawanna Cannon enrolled in Medicare?
Yes. Kawanna 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 Kawanna Cannon accept?
Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Kawanna 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.
When was this NPI record last updated?
The NPPES record for Kawanna Cannon was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kawanna Nicole Cannon · NPI 1356042279
Family physician in Montgomery, Alabama. Individual provider, active in the CMS NPPES registry since March 16, 2023.
## Identity
- **NPI:** 1356042279 (Entity type: Individual)
- **Enumerated:** March 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-174325 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1845 CHERRY ST, Montgomery, AL 36107-2613
- **Phone:** (334) 420-5001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356042279) · Data from the CMS NPPES public registry.