Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICKEY ALAN CANNON
NPI 1982527131
Nurse Practitioner - Family in Grenada, MS

Q: What is Mickey Cannon's NPI number?

The NPI number for Mickey Cannon is 1982527131. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Q: What is Mickey Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mickey Cannon was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since August 04, 2026

1010 W MONROE ST APT 4H, GRENADA, MS 38901(662) 983-0487 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mickey Alan Cannon NPPES

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

MICKEY ALAN CANNON (NPI 1982527131) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (908516) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1982527131

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMICKEY ALAN CANNON

Location Address1010 W MONROE ST APT 4HGrenada, MS 38901-5031

Mailing Address1010 W Monroe St Apt 4hGrenada, MS 38901-5031

Phone(662) 983-0487

Sole ProprietorNo

Enumeration DateAugust 4, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1982527131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 908516

1010 W MONROE ST APT 4H, Grenada, MS 38901

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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 Mickey Cannon's NPI number?

The NPI number for Mickey Cannon is 1982527131. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Mickey Cannon located?

Mickey Cannon practices at 1010 W Monroe St Apt 4H, Grenada, MS 38901. The listed phone number is (662) 983-0487.

What is Mickey Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mickey Cannon was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.