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

Dr. Robert Michael Cannon, MD

Individual provider Family Medicine Physician · NPI 1215373139

Dr. Robert Michael Cannon, MD is a Family Practice in Vicksburg, Mississippi. Graduated from University of Mississippi School of Medicine in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
14
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 636-0097
Fax: (601) 629-9969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23456 (MS)

Record details

NPI number1215373139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2013
Last updated in NPPESApril 4, 2017
Mailing address1901 Mission 66, Vicksburg, MS 39180-3711

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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