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
Mailing addressPo Box 3726, Augusta, GA 30914-3726

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

Other providers in Austell