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Florence Lilian Cannon , MS CCC SLP

Speech-Language Pathologist β€’ Tucker, GA

Active NPI 1104992304 Individual Practitioner Female Practitioner
Practice location in NPPES

3774 Lavista Rd Ste 200
Tucker, GA 300845618

Call 4044779400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3774 Lavista Rd Ste 200

Tucker, GA 300845618

Telephone 4044779400
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tucker, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tucker and Georgia

61 active clinicians are listed under Speech-Language Pathologist with a practice address in Tucker, GA (4,745 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tucker

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP006686

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP4078

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3756 Lavista Rd Ste 104

Tucker, GA 300845621

Phone: 4044779400

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 24, 2021

Registered at 3774 LAVISTA RD STE 200, TUCKER, GA 300845618 (Tel: 4044779400)

πŸ“
Updated Business Mailing Address April 24, 2021

Registered at 3774 LAVISTA RD STE 200, TUCKER, GA 300845618 (Tel: 4044779400)

βœ…
NPI Profile Active July 08, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2016

Registered at 3756 LAVISTA RD STE 104, TUCKER, GA 300845621 (Tel: 4044779400)

πŸ“
Business Mailing Address (Initial Record) July 08, 2016

Registered at 3756 LAVISTA RD STE 104, TUCKER, GA 300845621 (Tel: 4044779400)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2016

Recorded as FLORENCE CANNON, MS CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Speech-Language Pathologist (license number reported to NPPES: GA SLP006686)

🟒
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104992304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: April 24, 2021
Sole Proprietor: Yes

Mailing Address

3774 Lavista Rd Ste 200

Tucker, GA 300845618

Phone: 4044779400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.