LAUREN CANNON – Physician Assistant, NPI 1104487818
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for LAUREN CANNON
PO BOX 3726
AUGUSTA, GA 309143726
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
Austell Road, Austell, Cobb County, Georgia, 30106, United States
AUSTELL, GA 301061121
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Urgo Medical North America, LLC ($43).
Total Amount
$146
General + Research + Ownership
Payments
8
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Urgo Medical North America, LLC | $43 |
| Medline Industries LP | $38 |
| Reprise Biomedical, Inc. | $18 |
| KCI USA, Inc. | $16 |
| Baxter Healthcare | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200103002480 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 63 | 36 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 51 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Plastic And Reconstructive Surgery | GA | |
| - | WI | |
| Critical Care (Intensivists), General Surgery, Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), General Surgery, Critical Care (Intensivists) | GA |
Reviews
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