What is Cannon Plastic & Reconstructive Surgery PC's NPI number?

Cannon Plastic & Reconstructive Surgery PC's National Provider Identifier (NPI) is 1093079402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Cannon Plastic & Reconstructive Surgery PC?

Cannon Plastic & Reconstructive Surgery PC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Cannon Plastic & Reconstructive Surgery PC located?

Cannon Plastic & Reconstructive Surgery PC's practice location on file with NPPES is 5205 Frederick St, Savannah, GA 31405-4501.

What is Cannon Plastic & Reconstructive Surgery PC's phone number?

The practice phone number listed in the NPPES registry for Cannon Plastic & Reconstructive Surgery PC is (912) 354-7044.

Who is the authorized official for Cannon Plastic & Reconstructive Surgery PC?

The authorized official listed on Cannon Plastic & Reconstructive Surgery PC's NPPES record is Clifton Cannon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Cannon Plastic & Reconstructive Surgery PC's NPI active?

Yes — Cannon Plastic & Reconstructive Surgery PC's NPI (1093079402) is active in the NPPES registry as of the last update on 2012-11-19.

OrganizationActive

Cannon Plastic & Reconstructive Surgery PC

NPI 1093079402 · Plastic Surgery Physician · Savannah, GA

Cannon Plastic & Reconstructive Surgery PC is a Plastic Surgery Physician organization in Savannah, GA (NPI 1093079402).

Provider details

NPI number: 1093079402
Entity type: Organization
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Clifton Cannon, President(912) 354-7044

Practice location

5205 Frederick St

Savannah, GA 31405-4501

Phone: (912) 354-7044

Fax: (912) 355-3066

Street-level locationGet directions

More GA providers

Mailing address

Po Box 15878

Savannah, GA 31416-2578

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000X
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 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.

Enumerated: 2012-06-29
Last updated: 2012-11-19

Frequently asked questions

What is Cannon Plastic & Reconstructive Surgery PC's NPI number?: Cannon Plastic & Reconstructive Surgery PC's National Provider Identifier (NPI) is 1093079402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Cannon Plastic & Reconstructive Surgery PC?: Cannon Plastic & Reconstructive Surgery PC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Cannon Plastic & Reconstructive Surgery PC located?: Cannon Plastic & Reconstructive Surgery PC's practice location on file with NPPES is 5205 Frederick St, Savannah, GA 31405-4501.
What is Cannon Plastic & Reconstructive Surgery PC's phone number?: The practice phone number listed in the NPPES registry for Cannon Plastic & Reconstructive Surgery PC is (912) 354-7044.
Who is the authorized official for Cannon Plastic & Reconstructive Surgery PC?: The authorized official listed on Cannon Plastic & Reconstructive Surgery PC's NPPES record is Clifton Cannon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Cannon Plastic & Reconstructive Surgery PC's NPI active?: Yes — Cannon Plastic & Reconstructive Surgery PC's NPI (1093079402) is active in the NPPES registry as of the last update on 2012-11-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions