Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Canon

Individual provider Anesthesiologist Assistant · NPI 1932642444

Grace Canon is an Anesthesiology Assistant in Colorado Springs, Colorado. Qualified in 2016, 10 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Georgia.

Years since qualifying
10
Licensed in
CO, GA
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909
Phone: (719) 365-6999
Fax: (719) 365-2837
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 — (770) 645-9181
  • 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 — (770) 645-9181

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence ANT.0000107 (CO)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 008194 (GA)

Record details

NPI number1932642444
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2016
Last updated in NPPESFebruary 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Colorado Springs