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

Dr. Octavia Manetta Cannon, DO

Individual provider Specialist · NPI 1497734701

Dr. Octavia Manetta Cannon, DO is an Obstetrics/Gynecology in East Lansing, Michigan. Graduated from Nova Southeastern College of Osteo Medicine in 1995, 31 years ago. Practices with Uwh of Michigan PLC, a 92-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
31
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
MI, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1560 Turf Ln
East Lansing, MI 48823-6392
Phone: (517) 484-3000
Show map & directions

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

Additional practice locations (2)

  • 1100 S Cedar St, Mason, MI 48854-2009 — (517) 484-3000
  • 3125 Springbank Ln, Charlotte, NC 28226-3345 — (704) 341-1103

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5101012864 (MI)
Specialist Taxonomy 174400000X · Licence 9900020 (NC)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 99-00020 (NC)

Record details

NPI number1497734701
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address1560 Turf Ln, East Lansing, MI 48823-6392

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1995 (31 years in practice)
Group practice Uwh Of Michigan Plc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Lansing