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

Lauren Cannon

Individual provider Physician Assistant · NPI 1104487818

Lauren Cannon is a Physician Assistant in Austell, Georgia. Qualified in 2019, 7 years ago. Practices with Joseph M Still Burn Centers, Inc, a 47-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (706) 863-9595
Fax: (706) 868-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9403 (GA)

Record details

NPI number1104487818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Joseph M Still Burn Centers, Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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