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
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Practice location Address checks out

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909
Phone: (719) 365-6999
Fax: (719) 365-2837
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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
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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