Courtlyn Cannon, PA-C
NPI 1740142611 · Physician Assistant · Gainesville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtlyn Cannon, PA-C is a Physician Assistant provider in Gainesville, FL (NPI 1740142611).
Provider details
- NPI number
- 1740142611
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA9121043 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-12-01
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Courtlyn Cannon's NPI number?
- Courtlyn Cannon's National Provider Identifier (NPI) is 1740142611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtlyn Cannon's specialty?
- Courtlyn Cannon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Courtlyn Cannon located?
- Courtlyn Cannon's practice location on file with NPPES is 1600 Sw Archer Rd, Gainesville, FL 32610-3003.
- What is Courtlyn Cannon's phone number?
- The practice phone number listed in the NPPES registry for Courtlyn Cannon is (352) 265-5911.
- Does Courtlyn Cannon accept Medicare?
- Courtlyn Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtlyn Cannon's NPI active?
- Yes — Courtlyn Cannon's NPI (1740142611) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.