1. Home
  2. Directory
  3. Georgia
  4. Woodstock
  5. Physician Assistant
  6. NPI Profile

VICTORIA ELIZABETH CANNON PA-C
NPI 1952066904
Physician Assistant in Woodstock, GA

Active since November 04, 2021PECOS EnrolledAccepts Medicare Assignment
250 PARKBROOKE PL STE 300, WOODSTOCK, GA 30189(770) 442-1911(770) 928-2601 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Dec 14, 2021, Nov 4, 2021 (3 updates tracked since 2021).

About Victoria Elizabeth Cannon Pa-c NPPES

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

VICTORIA ELIZABETH CANNON PA-C (NPI 1952066904) is an individual physician assistant in Woodstock, Georgia, licensed in South Carolina (5090PA) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Musc Health Columbia Medical Center Downtown, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952066904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA ELIZABETH CANNONCredential: PA-C
Location Address250 PARKBROOKE PL STE 300Woodstock, GA 30189-6401
Mailing Address7 Acorn CtGreenville, SC 29609-3111 · (864) 451-2745
Phone(770) 442-1911
Fax(770) 928-2601
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 4, 2021
Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1952066904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5090PA
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
250 PARKBROOKE PL STE 300, Woodstock, GA 30189
Open in Google Maps ↗

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

Victoria Elizabeth Cannon Pa-c 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.

PECOS PAC ID9032504972
PECOS Enrollment IDI20231229001233
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
187 services180 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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.

AMANDA BOSTOCK SOWISDRAL PA-C
Physician Assistant
250 PARKBROOKE PL STE 300
WOODSTOCK, GA 30189
Cherokee County (770) 442-1911
MRS. DANA LEE COLE MMS, PA
Physician Assistant
250 PARKBROOKE PL STE 300
WOODSTOCK, GA 30189
Cherokee County (770) 870-1780

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 Victoria Cannon's NPI number?

The NPI number for Victoria Cannon is 1952066904. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Victoria Cannon located?

Victoria Cannon practices at 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189. The listed phone number is (770) 442-1911.

What is Victoria Cannon's specialty?

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

Is Victoria Cannon enrolled in Medicare?

Yes. Victoria 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.

Is Victoria Cannon affiliated with any hospitals?

According to CMS data, Victoria Cannon is affiliated with Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Victoria Cannon was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.