Susan Cannon, M.D.
NPI 1003904012 · Anatomic Pathology & Clinical Pathology Physician · Laurel, MS
Enrolled with Medicare as Order and Referring Only - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Cannon, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Laurel, MS (NPI 1003904012).
Provider details
- NPI number
- 1003904012
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9090 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-09
Frequently asked questions
- What is Susan Cannon's NPI number?
- Susan Cannon's National Provider Identifier (NPI) is 1003904012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Cannon's specialty?
- Susan Cannon is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Cannon located?
- Susan Cannon's practice location on file with NPPES is 15 Summer Trace Blvd, Laurel, MS 39440-2510.
- What is Susan Cannon's phone number?
- The practice phone number listed in the NPPES registry for Susan Cannon is (601) 649-5390.
- Does Susan Cannon accept Medicare?
- Susan Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Cannon's NPI active?
- Yes — Susan Cannon's NPI (1003904012) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.