Active NPI 1033103122 Individual Practitioner Male Practitioner

Dr. D Timothy Cannon , MD

Specialist • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. D Cannon, MD is a certified Specialist practicing in Jackson, MS. With approximately 35 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1991, Dr. Cannon delivers high-quality medical care to the local community at 971 LAKELAND DR.

Dr. Cannon is affiliated with Jackson Pulmonary Associates, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, critical care, first, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

971 Lakeland Dr
Suite 1052

Jackson, MS 392164643

Telephone 6019819503

Fax 6019817895

Associated Practice Facility / Clinic

🏢 Jackson Gynecologic Oncology Pllc Facility NPI 1013909738

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -0.7 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 34.5 Yrs

Regional Practice Density

28 Specialists

Practicing in Jackson, MS (253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (35 Years) 35 Yrs

Jackson Specialty Average (35.7 Years) 35.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,653	370	$154.91	$108.14
99291 Critical care, first 30-74 minutes	759	239	$501.32	$195.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	618	189	$115.00	$72.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	465	54	$75.00	$56.78
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	272	44	$75.00	$43.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	269	208	$250.00	$158.02
94010 Test to measure expiratory airflow and volume	189	168	$140.00	$23.39
71046 X-ray of chest, 2 views	185	168	$100.00	$19.27
94729 Test to examine how well the lungs exchange gases	164	162	$145.00	$47.70
94726 Determination of lung volumes using plethysmography	160	158	$129.00	$47.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	145	145	$250.00	$199.61
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	113	81	$50.00	$11.12
95800 Sleep study including heart rate, breathing, and sleep time	112	112	$350.00	$114.78
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	104	78	$700.00	$60.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	47	$124.55	$115.79
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	45	42	$1000.00	$159.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$180.00	$151.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$178.00	$162.98
99239 Hospital discharge day management, more than 30 minutes	22	18	$150.00	$104.11
31622 Diagnostic exam of lung airway using an endoscope	20	15	$650.00	$119.50
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	12	12	$1500.00	$556.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,624	410	$155.00	$110.46
99291 Critical care, first 30-74 minutes	892	237	$500.00	$198.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	739	276	$115.00	$73.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	724	101	$75.00	$57.10
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	422	75	$75.00	$42.97
71046 X-ray of chest, 2 views	338	315	$100.00	$19.75
94010 Test to measure expiratory airflow and volume	323	310	$140.00	$23.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	302	254	$250.00	$160.67
94726 Determination of lung volumes using plethysmography	244	240	$129.00	$46.99
94729 Test to examine how well the lungs exchange gases	241	237	$145.00	$48.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	216	204	$178.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	164	$124.76	$116.43
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	108	90	$50.00	$11.56
95800 Sleep study including heart rate, breathing, and sleep time	108	108	$319.91	$128.17
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	88	76	$700.00	$79.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	71	71	$250.00	$200.95
36415 Insertion of needle into vein for collection of blood sample	35	32	$15.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$180.00	$152.15
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	32	32	$1000.00	$155.31
31622 Diagnostic exam of lung airway using an endoscope	21	16	$650.00	$117.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$40.00	$12.69
99239 Hospital discharge day management, more than 30 minutes	16	14	$150.00	$106.05
31623 Examination of lung airways using an endoscope	16	16	$700.00	$15.59
94618 Test for exercise-induced lung stress	14	14	$200.00	$30.57
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	12	11	$1131.25	$548.85
95810 Sleep monitoring of patient (6 years or older) in sleep lab	12	12	$1200.00	$524.61
32551 Removal of fluid from between lung and chest cavity	11	11	$500.00	$142.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,583	353	$115.00	$65.74
99291 Critical care, first 30-74 minutes	933	220	$499.46	$204.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	734	255	$155.00	$94.66
71046 X-ray of chest, 2 views	350	308	$100.00	$19.61
94010 Test to measure expiratory airflow and volume	338	298	$140.00	$23.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	300	264	$250.00	$183.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	239	$124.71	$116.54
94726 Determination of lung volumes using plethysmography	201	192	$129.00	$46.89
94729 Test to examine how well the lungs exchange gases	200	191	$145.00	$49.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	194	177	$166.77	$158.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	187	58	$75.00	$58.02
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	68	60	$50.00	$11.81
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	65	32	$75.00	$43.62
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	40	40	$700.00	$51.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$180.00	$154.45
31622 Diagnostic exam of lung airway using an endoscope	34	24	$650.00	$123.49
95800 Sleep study including heart rate, breathing, and sleep time	34	34	$300.00	$137.64
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	26	26	$1000.00	$165.44
36415 Insertion of needle into vein for collection of blood sample	22	21	$15.00	$2.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	20	20	$60.00	$31.55
G0008 Administration of influenza virus vaccine	20	20	$20.00	$19.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$250.00	$203.19
95810 Sleep monitoring of patient (6 years or older) in sleep lab	12	12	$600.00	$527.56
99238 Hospital discharge day management, 30 minutes or less	11	11	$100.00	$60.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,937	358	$114.94	$66.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	858	235	$155.00	$97.03
99291 Critical care, first 30-74 minutes	632	139	$500.00	$206.65
71046 X-ray of chest, 2 views	406	346	$100.00	$19.39
94010 Test to measure expiratory airflow and volume	390	337	$140.00	$25.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	316	$124.41	$119.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	352	300	$250.00	$187.14
94726 Determination of lung volumes using plethysmography	234	222	$129.00	$47.87
94729 Test to examine how well the lungs exchange gases	220	210	$145.00	$51.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$180.00	$156.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	59	$175.75	$160.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	61	53	$50.00	$11.85
36415 Insertion of needle into vein for collection of blood sample	37	34	$15.00	$2.93
31622 Diagnostic exam of lung airway using an endoscope	36	22	$650.00	$124.99
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	29	28	$700.00	$54.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$250.00	$206.57
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	26	25	$982.12	$168.32
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$85.00	$84.50
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$60.00	$29.89
G0008 Administration of influenza virus vaccine	14	14	$20.00	$15.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$180.00	$127.85
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	12	11	$260.00	$136.04
31623 Examination of lung airways using an endoscope	11	11	$700.00	$24.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,828	501	$114.92	$69.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,450	374	$155.00	$99.73
99291 Critical care, first 30-74 minutes	963	223	$499.48	$212.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	532	462	$250.00	$193.10
94010 Test to measure expiratory airflow and volume	373	324	$140.00	$31.43
71046 X-ray of chest, 2 views	346	310	$100.00	$18.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	257	$120.00	$101.18
94726 Determination of lung volumes using plethysmography	230	217	$129.00	$47.61
94729 Test to examine how well the lungs exchange gases	209	198	$145.00	$49.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$180.00	$152.37
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	56	52	$700.00	$85.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	44	$160.00	$135.33
31622 Diagnostic exam of lung airway using an endoscope	47	42	$636.17	$126.50
36415 Insertion of needle into vein for collection of blood sample	39	34	$15.00	$2.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$250.00	$181.97
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	28	28	$60.00	$29.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$180.00	$131.43
G0008 Administration of influenza virus vaccine	26	26	$20.00	$15.33
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	26	24	$845.00	$172.34
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	20	20	$260.00	$139.07
99238 Hospital discharge day management, 30 minutes or less	19	18	$100.00	$69.58
71045 X-ray of chest, 1 view	18	15	$80.00	$14.19
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$525.00	$82.74
36800 Insertion of tube connecting vein to vein for hemodialysis	15	13	$485.00	$119.41
32551 Removal of fluid from between lung and chest cavity	14	14	$500.00	$145.54
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$84.64	$69.81
76937 Ultrasonic guidance for blood vessel access	14	13	$150.00	$14.10
31623 Examination of lung airways using an endoscope	14	14	$700.00	$1.91
99239 Hospital discharge day management, more than 30 minutes	13	11	$150.00	$101.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,369	506	$115.00	$67.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,720	432	$155.00	$97.35
99291 Critical care, first 30-74 minutes	860	241	$500.00	$208.35
94010 Test to measure expiratory airflow and volume	487	427	$140.00	$31.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	484	409	$250.00	$188.98
71046 X-ray of chest, 2 views	448	395	$100.00	$17.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	400	366	$119.34	$99.71
94726 Determination of lung volumes using plethysmography	291	275	$122.75	$47.80
94729 Test to examine how well the lungs exchange gases	272	259	$145.00	$48.70
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	132	116	$700.00	$81.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$173.50	$151.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	55	$157.91	$134.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$240.41	$187.73
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	50	50	$845.00	$168.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$180.00	$128.04
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$78.29	$68.10
G0008 Administration of influenza virus vaccine	36	36	$20.00	$15.04
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	33	33	$60.00	$27.33
31623 Examination of lung airways using an endoscope	32	32	$700.00	$6.16
31622 Diagnostic exam of lung airway using an endoscope	26	22	$650.00	$124.06
36415 Insertion of needle into vein for collection of blood sample	24	22	$15.00	$2.94
99238 Hospital discharge day management, 30 minutes or less	18	18	$100.00	$68.16
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	18	18	$260.00	$133.62
99239 Hospital discharge day management, more than 30 minutes	17	17	$150.00	$100.26
71045 X-ray of chest, 1 view	16	16	$80.00	$13.46
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$525.00	$80.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,079	438	$115.00	$67.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,221	354	$155.00	$95.33
99291 Critical care, first 30-74 minutes	499	192	$500.00	$206.75
94010 Test to measure expiratory airflow and volume	397	366	$140.00	$31.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	379	329	$250.45	$187.15
71046 X-ray of chest, 2 views	370	336	$100.00	$16.66
94726 Determination of lung volumes using plethysmography	245	235	$109.00	$48.60
94729 Test to examine how well the lungs exchange gases	238	228	$145.00	$47.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	228	$118.33	$98.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$163.98	$149.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	125	114	$180.00	$127.68
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	85	77	$700.00	$63.07
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	54	52	$845.00	$168.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$235.58	$189.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	47	$159.44	$133.52
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$69.82	$64.65
31622 Diagnostic exam of lung airway using an endoscope	45	37	$650.00	$114.09
31623 Examination of lung airways using an endoscope	41	38	$700.00	$3.50
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	21	$525.00	$91.42
99239 Hospital discharge day management, more than 30 minutes	21	20	$150.00	$91.04
G0008 Administration of influenza virus vaccine	19	19	$20.00	$18.40
36415 Insertion of needle into vein for collection of blood sample	17	17	$15.00	$2.94
95012 Test to measure the level of nitric oxide gas	17	17	$50.00	$17.41
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	16	16	$60.00	$23.57
99238 Hospital discharge day management, 30 minutes or less	16	16	$100.00	$68.09
71045 X-ray of chest, 1 view	16	16	$80.00	$9.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$101.82	$96.29
76937 Ultrasonic guidance for blood vessel access	14	14	$150.00	$13.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,890	504	$117.49	$67.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,579	442	$155.68	$96.68
99291 Critical care, first 30-74 minutes	557	192	$500.00	$205.36
94010 Test to measure expiratory airflow and volume	430	407	$140.00	$30.64
71020 X-ray of chest, 2 views, front and side	368	340	$100.00	$14.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	360	330	$250.22	$187.55
94729 Test to examine how well the lungs exchange gases	231	228	$145.00	$46.20
94726 Determination of lung volumes using plethysmography	230	228	$109.00	$44.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	174	$118.17	$98.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	180	180	$168.54	$150.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	109	$186.89	$128.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	110	$160.00	$132.13
31622 Diagnostic exam of lung airway using an endoscope	72	56	$650.00	$124.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$230.96	$189.61
31628 Biopsy of lobe of lung using an endoscope, 1 lobe	46	45	$845.00	$167.40
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$72.89	$66.85
31623 Examination of lung airways using an endoscope	43	42	$700.00	$8.91
99238 Hospital discharge day management, 30 minutes or less	43	42	$100.00	$66.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$108.76	$98.34
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	19	17	$260.00	$133.93
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$233.16	$94.38
G0008 Administration of influenza virus vaccine	15	15	$20.00	$19.60
71010 X-ray of chest, 1 view, front	14	13	$80.00	$11.51
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	14	14	$20.00	$8.41
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$525.00	$114.45

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MS 11015

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00011216 (MS)

Hospital & Practice Group Affiliations

Jackson Pulmonary Associates, Pa

971 Lakeland Dr, Jackson, MS 392164609

Phone: 6019819503

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Jackson Cooper

Nurse Practitioner - Family

NPI 1043056757

Dr. David Westbrook , MD

Specialist

NPI 1073507083

Doctor of Medicine (M.D.)

Bonney Simmons

Nurse Practitioner

NPI 1134667843

Brandon Chambers , FNP-C

Nurse Practitioner

NPI 1174020770

Family Nurse Practitioner (Certified)

Dr. William Fuller , MD

Internal Medicine - Pulmonary Disease

NPI 1205323177

Doctor of Medicine (M.D.)

Dr. John Studdard , MD

Specialist

NPI 1225022213

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2011

Registered at 971 LAKELAND DR, SUITE 1052, JACKSON, MS 392164643 (Tel: 6019819503)

📍

Updated Business Mailing Address October 31, 2011

Registered at 971 LAKELAND DR, SUITE 1052, JACKSON, MS 392164643 (Tel: 6019819503)

👤

Provider Name / Credentials Updated October 31, 2011

Recorded as D CANNON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2011

Specialist (License #11015 in MS)

🟢

Initial NPI Registration & Enumeration September 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033103122

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 06, 2005

Last Update: October 31, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

971 Lakeland Dr, Suite 1052

Jackson, MS 392164643

Phone: 6019819503

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⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.