NPI age
20 years
Enumerated 2006-02-09
● Active
Type 1 · Individual
DR. Jimmie Dale Cannon JR., MD
Cannon is 1 of 5 internal medicine providers in Jasper and 1 of 952 in Georgia.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 952 active internal medicine providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
220 J.l. White Drive, Suite 100
Jasper, GA 301434894
Mailing address
275 Collier Road, Nw, Suite 500
Atlanta, GA 303091711
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | 060021300 | PTAN |
| 05 (SC) | 148977 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.