KELLY S. CANNON M.D. – NPI #1558521245
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

KELLY CANNON is a psychiatry & neurologist located in BATON ROUGE, LA. NPPES has assigned the NPI number 1558521245 to KELLY CANNON on June 16, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 3 years ago on Sep 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY CANNON below.

NPI Profile for
KELLY S. CANNON

NPI Number
1558521245
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY S. CANNON
Credentials
M.D.
Primary location
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808-4370
Phone: (225) 765-8648 Fax: (225) 765-7898
Mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone: (225) 765-8648 Fax: (225) 765-9196
Sole Proprietor
No
Updated
Certification Date
Sep 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KELLY CANNON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidLA1083879
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
LA 203432
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
FMOLHS-EPIC
Content Type
OTHER
Affiliation
N
Endpoint Location
7777 HENNESSY BLVD,
BATON ROUGE, LA 77025-1669

Endpoint
https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
FMOLHS FHIR URL
Content Type
OTHER
Affiliation
N
Endpoint Location
7777 HENNESSY BLVD,
BATON ROUGE, LA 77025-1669