MRS. MADISON DUCKWORTH CANNON (MD) – Family Medicine Physician, NPI 1790282218

MRS. MADISON DUCKWORTH CANNON (MD) is a healthcare provider. based in Bryan, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. T0438 (TX). The NPI Number for MRS. MADISON DUCKWORTH CANNON (MD) is 1790282218

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MADISON DUCKWORTH CANNON (MD)
NPI
1790282218
Phone
Not provided
Address
2900 E 29TH ST
Enumeration Date
11 April 2018
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3346545080
Graduation Year
2018 (8 years ago)
PAC ID
4789015348
Group Practice PAC ID
7911391958
Professional Enrollment ID
I20251006001059
Address ID
AL367323605DE305XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for MRS. MADISON DUCKWORTH CANNON (MD)

  • 2900, East 29th Street, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778022622

    Phone:

    Type: Mailing

  • 209 NW 8TH ST

    SEMINOLE, TX 793603447

    Phone: (432) 758-4750

    Fax: (866) 751-0864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Mylan Specialty L.P. ($85).

Total Amount

$133

General + Research + Ownership

Payments

9

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210723002287IFamily PracticeTXTBD
I20251006001059IFamily PracticeALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911391958View full group profile
NameSpecialtyState
Family Practice, General PracticeAL
Physician AssistantAL

Reviews

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Frequently asked questions

What number should I use to identify MRS. MADISON DUCKWORTH CANNON (MD) for billing?
Administrative and clinical systems typically use NPI 1790282218 for MRS. MADISON DUCKWORTH CANNON (MD).
Is MRS. MADISON DUCKWORTH CANNON (MD)'s NPI status active today?
Active status means MRS. MADISON DUCKWORTH CANNON (MD)'s NPI record is not deactivated in the public file.
How should patients interpret MRS. MADISON DUCKWORTH CANNON (MD)'s specialty?
The extract shows Family Medicine Physician for MRS. MADISON DUCKWORTH CANNON (MD). Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MADISON DUCKWORTH CANNON (MD)?
The directory associates MRS. MADISON DUCKWORTH CANNON (MD) with Bryan, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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