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MR. DAVID LEE CANNON JR.
NPI 1992417307
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since December 16, 2022PECOS Enrolled
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-5600 Get Directions Write a Review

NPPES record last updated: February 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2023, Dec 16, 2022 (2 updates tracked since 2022).

About Mr. David Lee Cannon Jr. NPPES

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

MR. DAVID LEE CANNON JR. (NPI 1992417307) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992417307
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DAVID LEE CANNON JR.
Location Address825 FAIRFAX AVENorfolk, VA 23507-1914
Mailing Address5236 Heron RdCambridge, MD 21613-3572 · (443) 521-6325
Phone(757) 446-5600
Sole ProprietorYes
Enumeration DateDecember 16, 2022
Last NPPES UpdateFebruary 4, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2023
✔ NPI 1992417307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
825 FAIRFAX AVE, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Lee Cannon Jr. 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.

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.

MRUNA PATEL MD
Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-7934
XIPI AMIN
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600
MARY GRACE LIBERATORE YOUNG
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 466-5600
DR. RICHARD M. WHALEN MD
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JESSICA D SNOOK FNP
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JOSHUA KEITH ROGERS DO
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
NICOLE GUNAWANSA MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
BINTA MUSTAPHA
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600

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 David Cannon's NPI number?

The NPI number for David Cannon is 1992417307. It was assigned to this individual provider in the NPPES registry on December 16, 2022.

Where is David Cannon located?

David Cannon practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-5600.

What is David Cannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Cannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Cannon was last updated on February 4, 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.