STEPHANIE CANNON APRN
NPI 1710632302
Nurse Practitioner - Primary Care in Woodbury, GA

Active since February 13, 2022PECOS Enrolled
64A JONES MILL RD, WOODBURY, GA 30293(706) 553-5367 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2025, Oct 24, 2023, Feb 13, 2022 (3 updates tracked since 2022).

About Stephanie Cannon Aprn NPPES

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

STEPHANIE CANNON APRN (NPI 1710632302) is an individual primary care provider in Woodbury, Georgia, licensed in Georgia (RN249067) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710632302
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSTEPHANIE CANNONCredential: APRN
Location Address64A JONES MILL RDWoodbury, GA 30293-2678
Mailing Address1981 Hendricks Church RdThomaston, GA 30286-2047
Sole ProprietorNo
Enumeration DateFebruary 13, 2022
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1710632302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · RN249067
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN249067 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN249067 (GA)
64A JONES MILL RD, Woodbury, GA 30293

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 (PECOS)

Stephanie Cannon Aprn 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 30293 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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 3

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

Nurse Practitioner (Acute Care)
64A JONES MILL RD
WOODBURY, GA 30293
Nurse Practitioner (Family)
64A JONES MILL RD
WOODBURY, GA 30293
Clinic/Center (Rural Health)
64A JONES MILL RD
WOODBURY, GA 30293

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 Stephanie Cannon's NPI number?

The NPI number for Stephanie Cannon is 1710632302. It was assigned to this individual provider in the NPPES registry on February 13, 2022.

Where is Stephanie Cannon located?

Stephanie Cannon practices at 64A Jones Mill Rd, Woodbury, GA 30293. The listed phone number is (706) 553-5367.

What is Stephanie Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Stephanie Cannon enrolled in Medicare?

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

What insurance does Stephanie Cannon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stephanie 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 Stephanie Cannon was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.