Dr Jimmie Dale Cannon Jr, MD | |
220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 | |
(706) 253-8001 | |
(706) 253-8002 |
Full Name | Dr Jimmie Dale Cannon Jr |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 37 Years |
Location | 220 J.l. White Drive, Jasper, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033182043 | NPI | - | NPPES |
060021300 | Other | SC | PTAN |
148977 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 14897 (South Carolina) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 072875 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
Piedmont Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 405 |
Entity Name | Piedmont Cardiology Of Atlanta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
Mailing Address | Practice Location Address |
---|---|
Dr Jimmie Dale Cannon Jr, MD 275 Collier Road, Nw, Suite 500, Atlanta, GA 30309-1711 Ph: (404) 605-2800 | Dr Jimmie Dale Cannon Jr, MD 220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 Ph: (706) 253-8001 |
Karl Mareth, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Dr. Bryan D Hooker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 14 Sammy Mcghee Blvd Ste 204, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Neetu Pannala-lakshma Reddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 150, Jasper, GA 30143 Phone: 706-299-2200 | |
Dr. Michael Dan Perrino, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 134 Mountainside Village Pkwy, Building 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Jason Andrew Berner, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr, Suite 110, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Christine E. Dukes, FNP-C Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 |